Provider Demographics
NPI:1164001608
Name:MOVING FORWARD CONSULANT COMPANY
Entity Type:Organization
Organization Name:MOVING FORWARD CONSULANT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMERVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-932-2107
Mailing Address - Street 1:257 LAWRENCE ST NE UNIT 57
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30061-2300
Mailing Address - Country:US
Mailing Address - Phone:678-400-3270
Mailing Address - Fax:
Practice Address - Street 1:10216 BRIARBAY LOOP
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-6579
Practice Address - Country:US
Practice Address - Phone:404-932-2107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health