Provider Demographics
NPI:1487494001
Name:BORN RESILIENT LLC
Entity type:Organization
Organization Name:BORN RESILIENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONALISA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:ORDUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-361-5336
Mailing Address - Street 1:787 W KANAI AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-2040
Mailing Address - Country:US
Mailing Address - Phone:559-361-5336
Mailing Address - Fax:
Practice Address - Street 1:311 N 2ND ST STE E
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3804
Practice Address - Country:US
Practice Address - Phone:559-361-5336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty