Provider Demographics
NPI:1376938191
Name:ANEW HEARING CARE, LLC
Entity Type:Organization
Organization Name:ANEW HEARING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNEROPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:HEARINGAIDSPECIALIST
Authorized Official - Phone:910-353-4327
Mailing Address - Street 1:99 VILLAGE DR
Mailing Address - Street 2:SUITE 10
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7067
Mailing Address - Country:US
Mailing Address - Phone:910-353-4327
Mailing Address - Fax:910-353-4327
Practice Address - Street 1:99 VILLAGE DR
Practice Address - Street 2:SUITE 10
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7067
Practice Address - Country:US
Practice Address - Phone:910-353-4327
Practice Address - Fax:910-353-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1047174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty