Provider Demographics
NPI:1245075571
Name:B'NORE CARE
Entity type:Organization
Organization Name:B'NORE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-674-6448
Mailing Address - Street 1:232 MCKINLEY LOOP
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8727
Mailing Address - Country:US
Mailing Address - Phone:770-256-9479
Mailing Address - Fax:
Practice Address - Street 1:232 MCKINLEY LOOP
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8727
Practice Address - Country:US
Practice Address - Phone:770-256-9479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care