Resurgence Residential Solutions LLC

NPI #1487454294 in Maumee, Ohio

Provider Information

NPI Number
1487454294
Entity Type
Organization
Organization Name
Resurgence Residential Solutions LLC
Subpart
Yes (part of a larger organization)
Parent Organization
JEHOVAH NISSI HOLDINGS LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 19, 2025
Last Updated
Mar 19, 2025

Practice Location

Address
1720 INDIAN WOOD CIR STE I
City
Maumee
State
Ohio
ZIP Code
43537-4041
Phone
(567) 868-7810

Authorized Official

Name
MICHAEL ALLEN ROBINSON
Title
DIRECTOR DIRECTOR DESIGNEE
Phone
(567) 868-7810

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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