Provider Demographics
NPI:1861617847
Name:PARKER'S RESOURCES UNLIMITED, INC
Entity type:Organization
Organization Name:PARKER'S RESOURCES UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYRE
Authorized Official - Middle Name:PARKER
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:985-526-0556
Mailing Address - Street 1:2962 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:LABADIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70372-2403
Mailing Address - Country:US
Mailing Address - Phone:985-526-0556
Mailing Address - Fax:
Practice Address - Street 1:2962 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:LABADIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70372-2403
Practice Address - Country:US
Practice Address - Phone:985-526-0556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12101251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1623687Medicaid