Provider Demographics
NPI:1699921742
Name:RESIDENTIAL RESOURCES, INC.
Entity type:Organization
Organization Name:RESIDENTIAL RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ZEIBER
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, LCSW
Authorized Official - Phone:910-635-8076
Mailing Address - Street 1:PO BOX 40236
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28309-0236
Mailing Address - Country:US
Mailing Address - Phone:910-635-8076
Mailing Address - Fax:910-429-0777
Practice Address - Street 1:2545 RAVENHILL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-9617
Practice Address - Country:US
Practice Address - Phone:910-635-8076
Practice Address - Fax:910-429-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0002541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2876766AMedicare PIN