Provider Demographics
NPI:1700833159
Name:AFTER THE FALL INC.
Entity Type:Organization
Organization Name:AFTER THE FALL INC.
Other - Org Name:TURTLE COVER VENTURES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, COF, CEAC
Authorized Official - Phone:703-497-0333
Mailing Address - Street 1:4046 SHARPSBURG MCCULLUM RD STE 208B
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2332
Mailing Address - Country:US
Mailing Address - Phone:703-497-0333
Mailing Address - Fax:703-497-0377
Practice Address - Street 1:4046 SHARPSBURG MCCULLUM RD STE 208B
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2332
Practice Address - Country:US
Practice Address - Phone:703-497-0333
Practice Address - Fax:703-497-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0002780 00Medicaid
VA010301157Medicaid
MN773450000Medicaid
SCDE2620Medicaid
PA1018225000001Medicaid
138402OtherANTHEM
AS11468480001OtherCIGNA
WI41759900Medicaid
AS11468480001OtherCIGNA
WI41759900Medicaid
MD0002780 00Medicaid
VA010301157Medicaid
MN773450000Medicaid