Provider Demographics
NPI:1639534704
Name:HUMBLE BEGINNINGS FCH
Entity Type:Organization
Organization Name:HUMBLE BEGINNINGS FCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-471-2615
Mailing Address - Street 1:PO BOX 861
Mailing Address - Street 2:
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-0861
Mailing Address - Country:US
Mailing Address - Phone:910-663-9148
Mailing Address - Fax:910-663-9004
Practice Address - Street 1:803 LINDA LN
Practice Address - Street 2:
Practice Address - City:BURGAW
Practice Address - State:NC
Practice Address - Zip Code:28425-5073
Practice Address - Country:US
Practice Address - Phone:910-663-9148
Practice Address - Fax:910-663-9004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL-071-016261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care