Provider Demographics
NPI:1922251909
Name:AURORASUPPORTSERVICES
Entity Type:Organization
Organization Name:AURORASUPPORTSERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNAZZA
Authorized Official - Middle Name:TABASSUM
Authorized Official - Last Name:RAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-259-0528
Mailing Address - Street 1:2108 CANDELAR DR
Mailing Address - Street 2:
Mailing Address - City:HIGHPOINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265
Mailing Address - Country:US
Mailing Address - Phone:336-259-0528
Mailing Address - Fax:336-841-2323
Practice Address - Street 1:114 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGHPOINT
Practice Address - State:NC
Practice Address - Zip Code:27262
Practice Address - Country:US
Practice Address - Phone:336-259-0528
Practice Address - Fax:336-841-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization