NPI 1205145414

Provider Resource Solutions LLC

Organisation Supports Brokerage Agency Fayetteville, GA

Practice location

Address: 101 Beckett Ln, Fayetteville, GA 30214-7155
Phone: (404) 829-2715

Authorised official

Name: Rhonda Ann Crockett
Title: President
Phone: (404) 829-2715

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Georgia →

Registry record

NPI: 1205145414
Entity type: Organization
NPI issued: 5 Oct 2010
Record last updated: 5 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.