Provider Demographics
NPI:1174125041
Name:ENLIGHTENING NURTURANCE, INC.
Entity type:Organization
Organization Name:ENLIGHTENING NURTURANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERRELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-590-5958
Mailing Address - Street 1:PO BOX 41247
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27629-1247
Mailing Address - Country:US
Mailing Address - Phone:919-590-5958
Mailing Address - Fax:
Practice Address - Street 1:3213 DEANA LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3480
Practice Address - Country:US
Practice Address - Phone:919-590-5958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable