Provider Demographics
NPI:1154190825
Name:NUDIMENSIONS
Entity type:Organization
Organization Name:NUDIMENSIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BERNESSA
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:MCNEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-989-4625
Mailing Address - Street 1:4605 KELLYS TRL
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2319
Mailing Address - Country:US
Mailing Address - Phone:336-989-4625
Mailing Address - Fax:336-724-4783
Practice Address - Street 1:4605 KELLYS TRL
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2319
Practice Address - Country:US
Practice Address - Phone:336-989-4625
Practice Address - Fax:336-724-4783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health