Provider Demographics
NPI:1427772839
Name:RESOLUTION HEALTHCARE GROUP LLC
Entity type:Organization
Organization Name:RESOLUTION HEALTHCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-667-7505
Mailing Address - Street 1:79 BARRY RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1140
Mailing Address - Country:US
Mailing Address - Phone:508-667-7505
Mailing Address - Fax:
Practice Address - Street 1:79 BARRY RD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1140
Practice Address - Country:US
Practice Address - Phone:508-667-7505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty