| Roland Resources Llc | |
|
225 Main St Ste 7a Destin FL 32541-2550 | |
| (850) 404-2294 | |
| Not Available |
| Full Name | Roland Resources Llc |
|---|---|
| Speciality | Social Worker |
| Location | 225 Main St Ste 7a, Destin, Florida |
| Authorized Official Name and Position | Glen Horne (OWNER) |
| Authorized Official Contact | 8504042294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roland Resources Llc 5 Calhoun Ave Unit 606 Destin FL 32541-5511 Ph: (850) 404-2294 | Roland Resources Llc 225 Main St Ste 7a Destin FL 32541-2550 Ph: (850) 404-2294 |
| NPI Number | 1346982014 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0547632341 |
|---|---|
| Medicare Enrollment ID | O20230203001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346982014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Victoria E Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245253558 PECOS PAC ID: 4688673536 Enrollment ID: I20061204000383 |
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