Provider Demographics
NPI:1487480661
Name:FORGET ME NOT CONSULTING LLC
Entity type:Organization
Organization Name:FORGET ME NOT CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZALI
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:980-384-5999
Mailing Address - Street 1:9347 WHITE ASPEN PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1585
Mailing Address - Country:US
Mailing Address - Phone:980-384-5999
Mailing Address - Fax:
Practice Address - Street 1:9347 WHITE ASPEN PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1585
Practice Address - Country:US
Practice Address - Phone:980-384-5999
Practice Address - Fax:980-890-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care