1881084028 NPI number — GLOBAL RESOURCES AND SUPPORTS INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881084028 NPI number — GLOBAL RESOURCES AND SUPPORTS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL RESOURCES AND SUPPORTS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881084028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3647 ELDER OAKS BLVD
Provider Second Line Business Mailing Address:
#4304
Provider Business Mailing Address City Name:
BOWIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20716-3382
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-813-9800
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3647 ELDER OAKS BLVD
Provider Second Line Business Practice Location Address:
#4304
Provider Business Practice Location Address City Name:
BOWIE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20716-3382
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-813-9800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
HEADLEY-COPPIN
Authorized Official First Name:
TONYA
Authorized Official Middle Name:
ALISON
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
443-813-9800

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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