Provider Demographics
NPI:1508110511
Name:DREAMERS INSTITUTE-NURSES AIDE & PROFESSIONAL DEVELOPMENT
Entity Type:Organization
Organization Name:DREAMERS INSTITUTE-NURSES AIDE & PROFESSIONAL DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:CELESTINE
Authorized Official - Last Name:KORVAH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, MPH
Authorized Official - Phone:614-354-4348
Mailing Address - Street 1:5640 KATHY RUN LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-6827
Mailing Address - Country:US
Mailing Address - Phone:614-895-0627
Mailing Address - Fax:
Practice Address - Street 1:5640 KATHY RUN LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-6827
Practice Address - Country:US
Practice Address - Phone:614-895-0627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)