Provider Demographics
NPI: | 1073767471 |
---|---|
Name: | RHEMA-IN-ACTION OUTREACH MINISTRIES, INC. |
Entity type: | Organization |
Organization Name: | RHEMA-IN-ACTION OUTREACH MINISTRIES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR/BOARD CHAIR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | REMA |
Authorized Official - Middle Name: | MONIQUE |
Authorized Official - Last Name: | DAWSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 252-571-5430 |
Mailing Address - Street 1: | P.O. BOX 30 |
Mailing Address - Street 2: | |
Mailing Address - City: | VANCEBORO |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28586 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 252-571-5430 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7917 MAIN STREET |
Practice Address - Street 2: | |
Practice Address - City: | VANCEBORO |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28586 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-571-5430 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | RHEMA - IN - OUTREACH MINISTRIES, INC. |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2008-11-12 |
Last Update Date: | 2009-04-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Single Specialty |