Provider Demographics
NPI:1841062783
Name:IN SEARCH OF A NEW BEGINNING, INC
Entity type:Organization
Organization Name:IN SEARCH OF A NEW BEGINNING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-444-3045
Mailing Address - Street 1:PO BOX 7064
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32238-0064
Mailing Address - Country:US
Mailing Address - Phone:904-444-3045
Mailing Address - Fax:904-375-9451
Practice Address - Street 1:464 CRABAPPLE CT APT B
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-8846
Practice Address - Country:US
Practice Address - Phone:904-444-3045
Practice Address - Fax:904-375-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty