NPI Code Detail JSON Logo

1710825526 NPI number — RESILIENCE RESIDENTIAL SERVICES

NPI Number: 1710825526
Health Care Provider/Practitioner: RESILIENCE RESIDENTIAL SERVICES

Information about “1710825526” NPI (RESILIENCE RESIDENTIAL SERVICES) exists in 1710825526 in HTML format HTML  |  1710825526 in plain Text format TXT  |  1710825526 in PDF (Portable Document Format) PDF  |  1710825526 in an XML format XML  formats.

NPI Number : 1710825526 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710825526",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RESILIENCE RESIDENTIAL SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1390 SOUTHSIDE DR STE 108",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24153-4652",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-332-2228",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "430 VIRGINIAN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHRISTIANSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24073-6530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-332-2228",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2026",
    "LastUpdateDate": "03/23/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PHILLIPS",
    "AuthorizedOfficialFirstName": "UNIQUE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "704-352-2243",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251C00000X",
        "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.