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Organization

RESURGENCE RESIDENTIAL SOLUTIONS LLC

Active
Parent organization
JEHOVAH NISSI HOLDINGS LLC
Other names
Jehovah Nissi Holdings LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEHOVAH NISSI HOLDINGS LLC
Authorized official
MICHAEL ALLEN ROBINSON (DIRECTOR DIRECTOR DESIGNEE)
(567) 868-7810
Entity
Organization

Contact information

Practice address
1720 INDIAN WOOD CIR STE I, MAUMEE, OH 43537-4041
(567) 868-7810
Mailing address
PO BOX 146, HOLLAND, OH 43528-0146
(567) 868-7810

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
03/19/2025
Last updated
03/19/2025
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