Provider Demographics
NPI:1194738401
Name:ANOTHER CHANCE REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:ANOTHER CHANCE REHABILITATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANG
Authorized Official - Middle Name:NWOKEKA
Authorized Official - Last Name:NDUKWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-414-0008
Mailing Address - Street 1:2090 TUCKER INDUSTRIAL RD
Mailing Address - Street 2:SUITE A8
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-6221
Mailing Address - Country:US
Mailing Address - Phone:770-414-0008
Mailing Address - Fax:770-414-0082
Practice Address - Street 1:2090 TUCKER INDUSTRIAL RD
Practice Address - Street 2:SUITE A8
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-6221
Practice Address - Country:US
Practice Address - Phone:770-414-0008
Practice Address - Fax:770-414-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment