Provider Demographics
NPI:1538456314
Name:NELA
Entity Type:Organization
Organization Name:NELA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/HUMAN RESOURCES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-375-5110
Mailing Address - Street 1:3011 S MEMORIAL DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6238
Mailing Address - Country:US
Mailing Address - Phone:252-375-5110
Mailing Address - Fax:252-215-1558
Practice Address - Street 1:3011 MEMORIAL BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6238
Practice Address - Country:US
Practice Address - Phone:252-375-5110
Practice Address - Fax:252-215-1558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care