Provider Demographics
NPI:1811675523
Name:REWIRE IN HOPE
Entity type:Organization
Organization Name:REWIRE IN HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-288-5034
Mailing Address - Street 1:1809 4TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-5713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1809 4TH AVE SW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-5713
Practice Address - Country:US
Practice Address - Phone:202-288-5034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management