Provider Demographics
NPI:1487031449
Name:A FRESH START ORGANIZATION
Entity Type:Organization
Organization Name:A FRESH START ORGANIZATION
Other - Org Name:NEW BEGINNING MOTHERS & CHILDREN CENTERS ORG
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANNE
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:HALL SPRUILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-822-1790
Mailing Address - Street 1:301 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5755
Mailing Address - Country:US
Mailing Address - Phone:282-822-1790
Mailing Address - Fax:252-577-4677
Practice Address - Street 1:301 S CHURCH ST STE 153
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5748
Practice Address - Country:US
Practice Address - Phone:282-822-1790
Practice Address - Fax:252-577-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home