Provider Demographics
NPI:1366314767
Name:RESOLUTE CARE SERVICES, INC.
Entity type:Organization
Organization Name:RESOLUTE CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:850-391-8303
Mailing Address - Street 1:12155 AL HIGHWAY 35 STE C
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-3767
Mailing Address - Country:US
Mailing Address - Phone:850-792-7117
Mailing Address - Fax:
Practice Address - Street 1:6221 DAHLIA ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-8222
Practice Address - Country:US
Practice Address - Phone:850-792-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities