Provider Demographics
NPI:1649401100
Name:THE EMPOWERMENT CENTER LLC
Entity Type:Organization
Organization Name:THE EMPOWERMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCEACHIRN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-312-5528
Mailing Address - Street 1:201 MCADOO AVE
Mailing Address - Street 2:2D
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-1752
Mailing Address - Country:US
Mailing Address - Phone:336-312-5528
Mailing Address - Fax:336-270-5027
Practice Address - Street 1:201 MCADOO AVE
Practice Address - Street 2:2D
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1752
Practice Address - Country:US
Practice Address - Phone:336-312-5528
Practice Address - Fax:336-270-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-01
Last Update Date:2009-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care