Provider Demographics
NPI:1871118059
Name:URA RESOURCE CENTER, LLC
Entity type:Organization
Organization Name:URA RESOURCE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH EDUCATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:RATESA
Authorized Official - Last Name:BYNUM
Authorized Official - Suffix:
Authorized Official - Credentials:CHES
Authorized Official - Phone:501-291-8775
Mailing Address - Street 1:25 NORTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3410
Mailing Address - Country:US
Mailing Address - Phone:501-291-8775
Mailing Address - Fax:
Practice Address - Street 1:25 NORTHWOOD DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3410
Practice Address - Country:US
Practice Address - Phone:501-291-8775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty