NPI 1558605626

Independent Resources, INC.

Organisation Supports Brokerage Agency Wilmington, DE

Practice location

Address: 6 Denny Rd Suite 101, Wilmington, DE 19809-3444
Phone: (302) 765-0191
Fax: (302) 765-0195

Authorised official

Name: Larry D Henderson
Title: Executive Director
Phone: (302) 765-0191

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 251X00000X (DE)

Other Supports Brokerage providers in Delaware →

Registry record

NPI: 1558605626
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

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.