| Resilient Living Llc | |
|
21378 Elmore Ave Faribault MN 55021-7883 | |
| (507) 838-1297 | |
| Not Available |
| Full Name | Resilient Living Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21378 Elmore Ave, Faribault, Minnesota |
| Authorized Official Name and Position | Theresa Ann Reuvers (OWNER) |
| Authorized Official Contact | 5078381297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Living Llc 21378 Elmore Ave Faribault MN 55021-7883 Ph: (507) 838-1297 | Resilient Living Llc 21378 Elmore Ave Faribault MN 55021-7883 Ph: (507) 838-1297 |
| NPI Number | 1154774255 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154774255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22678 (Minnesota) | Primary |
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