Provider Demographics
NPI:1225903024
Name:RESILIENCE SERVICES
Entity type:Organization
Organization Name:RESILIENCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-464-6979
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:WILSONS MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27593-0344
Mailing Address - Country:US
Mailing Address - Phone:919-464-6979
Mailing Address - Fax:
Practice Address - Street 1:197 LYNN DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-4607
Practice Address - Country:US
Practice Address - Phone:919-464-6979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child