| Rest Resolution Llc | |
|
11901 Toepperwein Rd Ste 1104 Live Oak TX 78233-3159 | |
| (210) 946-4746 | |
| Not Available |
| Full Name | Rest Resolution Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 11901 Toepperwein Rd Ste 1104, Live Oak, Texas |
| Authorized Official Name and Position | Kenneth O Livingstson (OWNER) |
| Authorized Official Contact | 2103177927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rest Resolution Llc 11901 Toepperwein Rd Ste 1104 Live Oak TX 78233-3159 Ph: (210) 946-4746 | Rest Resolution Llc 11901 Toepperwein Rd Ste 1104 Live Oak TX 78233-3159 Ph: (210) 946-4746 |
| NPI Number | 1134604234 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 09/25/2018 |
| Medicare PECOS PAC ID | 1456687375 |
|---|---|
| Medicare Enrollment ID | O20190730001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134604234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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