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General NPI Number Information
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NPI Number | 1366314767
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Entity Type | Organization
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Legal Business Name | RESOLUTE CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6221 DAHLIA ST
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City | MILTON
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State | FL
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Zip | 32570-8222
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Country | US
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Telephone | 850-792-7117
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Fax |
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Provider Business Mailing Address
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Address Line | 12155 AL HIGHWAY 35 STE C
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City | FORT PAYNE
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State | AL
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Zip | 35968-3767
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Country | US
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Telephone | 850-792-7117
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND GENERAL MANAGER
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Name | KENNETH MITCHELL II
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Credential |
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Telephone | 850-391-8303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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