Provider Demographics
NPI:1518611474
Name:THE NEWTON RECRUITING AGENCY CORPORATION
Entity Type:Organization
Organization Name:THE NEWTON RECRUITING AGENCY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALL JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-474-8519
Mailing Address - Street 1:2320 WATERS TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-8807
Mailing Address - Country:US
Mailing Address - Phone:352-474-8519
Mailing Address - Fax:
Practice Address - Street 1:5941 BENT PINE DR APT 902
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-3372
Practice Address - Country:US
Practice Address - Phone:352-474-8519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTNRA6984Medicaid
FLTNRA6984OtherINSURANCE