Provider Demographics
NPI:1023276987
Name:A NEW BEGINNING FOR 1 LIFE
Entity type:Organization
Organization Name:A NEW BEGINNING FOR 1 LIFE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-758-8870
Mailing Address - Street 1:6512 SUBURBAN DR
Mailing Address - Street 2:2A
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6734
Mailing Address - Country:US
Mailing Address - Phone:919-758-8870
Mailing Address - Fax:
Practice Address - Street 1:6512 SUBURBAN DR
Practice Address - Street 2:2A
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6734
Practice Address - Country:US
Practice Address - Phone:919-758-8870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A NEW BEGINNING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health