Provider Demographics
NPI:1710722541
Name:ONBOARD
Entity type:Organization
Organization Name:ONBOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-554-3818
Mailing Address - Street 1:308 S MAIN ST # 165
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-1771
Mailing Address - Country:US
Mailing Address - Phone:804-554-3818
Mailing Address - Fax:434-460-9160
Practice Address - Street 1:308 S MAIN ST # 165
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1771
Practice Address - Country:US
Practice Address - Phone:804-554-3818
Practice Address - Fax:434-460-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management