Provider Demographics
NPI:1700020898
Name:A TIME FOR HEALING LLC
Entity Type:Organization
Organization Name:A TIME FOR HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:BELAWN
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:252-885-1325
Mailing Address - Street 1:2208 GRACE PARK DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8899
Mailing Address - Country:US
Mailing Address - Phone:252-885-1325
Mailing Address - Fax:
Practice Address - Street 1:1015A ROANOKE AVE SUITE D
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870
Practice Address - Country:US
Practice Address - Phone:252-885-1325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based