Resiliency Village

LBN: Resiliency Village
Resiliency Village is an health care organization with primary practice located at 13707 Jenny Lind Road , Sonora CA 95370-9522. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / Case Management, Agencies / Supports Brokerage. Agencies / Supports Brokerage is the primary health care specialty. Resiliency Village can be contacted via phone (209) 559-0802, or through Dyken, Mark A via phone (209) 559-0802.

Contact Information

Primary practice address
13707 Jenny Lind Road Sonora CA 95370-9522
Phone: (209) 559-0802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dyken, Mark A
Phone: (209) 559-0802

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1225733108
LBN Legal business name Resiliency Village
DBA Doing business as
Authorized official Dyken, Mark A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2023
Last updated Mar 31st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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