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NPI Code Detail

MEDICARE: RESILIENT LOGISTICS MGMT LLC

MEDICARE: RESILIENT LOGISTICS MGMT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2343800000XSecured Medical Transport (VAN)
3347C00000XPrivate Vehicle
4343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1003673518
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENT LOGISTICS MGMT LLC
Provider Business Mailing Address
First Line : 2916 N EL CENTRO WAY
Second Line :
City : DALLAS
State : TX
Zip : 75241-6501
Country : US
Telephone Number : 469-348-1563
Fax Number :
Provider Business Practice Location Address
First Line : 2916 N EL CENTRO WAY
Second Line :
City : DALLAS
State : TX
Zip : 75241-6501
Country : US
Telephone Number : 469-348-1563
Fax Number :
Authorized Official
Title or Position : FOUNDER/ OWNER
Name : VERDENA ROBERTSON
Credential :
Telephone Number : 469-348-1563
Provider Enumeration Date : 03/01/2024
Last Update Date : 03/05/2024

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Directions to “RESILIENT LOGISTICS MGMT LLC ” Practice Location

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