1114122496 NPI number — ALAMANCE COUNTY MEALS ON WHEELS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114122496 NPI number — ALAMANCE COUNTY MEALS ON WHEELS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAMANCE COUNTY MEALS ON WHEELS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114122496
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
411 W 5TH ST STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27215-3884
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-228-8815
Provider Business Mailing Address Fax Number:
336-228-8816

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 W 5TH ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27215-3884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-228-8815
Provider Business Practice Location Address Fax Number:
336-228-8816
Provider Enumeration Date:
06/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BAKER
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
HABERLY
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
336-228-8815

Provider Taxonomy Codes

  • Taxonomy code: 251V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com