Provider Demographics
NPI:1518150267
Name:EMPLOYMENT AIDE &SERVICES
Entity Type:Organization
Organization Name:EMPLOYMENT AIDE &SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:N
Authorized Official - Last Name:OKORIEOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-484-3262
Mailing Address - Street 1:454 E RUSSELL ST STE A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5764
Mailing Address - Country:US
Mailing Address - Phone:910-484-3262
Mailing Address - Fax:910-485-0629
Practice Address - Street 1:3451 MCCHOEN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2547
Practice Address - Country:US
Practice Address - Phone:910-822-4742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409769Medicaid