Provider Demographics
NPI:1760047773
Name:ASSOCIATION OF THE RESSURECTION SISTERS OF THE NEEDY CARE OF THE ELDER
Entity Type:Organization
Organization Name:ASSOCIATION OF THE RESSURECTION SISTERS OF THE NEEDY CARE OF THE ELDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:REGIS
Authorized Official - Middle Name:CHIZOBAM
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-520-0711
Mailing Address - Street 1:4175 GLEN IRIS DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9695
Mailing Address - Country:US
Mailing Address - Phone:678-520-0711
Mailing Address - Fax:
Practice Address - Street 1:4175 GLEN IRIS DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9695
Practice Address - Country:US
Practice Address - Phone:678-520-0711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing PersonnelGroup - Single Specialty