MEDICARE: A NEW BEGINNING FOR 1 LIFE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023276987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW BEGINNING FOR 1 LIFE

Provider Business Mailing Address
First Line	:	6512 SUBURBAN DR
Second Line	:	2A
City	:	RALEIGH
State	:	NC
Zip	:	27615-6734
Country	:	US
Telephone Number	:	919-758-8870
Fax Number	:

Provider Business Practice Location Address
First Line	:	6512 SUBURBAN DR
Second Line	:	2A
City	:	RALEIGH
State	:	NC
Zip	:	27615-6734
Country	:	US
Telephone Number	:	919-758-8870
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. KATHERINE JAMES FREEMAN
Credential	:
Telephone Number	:	919-758-8870

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	05/28/2008

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Directions to “A NEW BEGINNING FOR 1 LIFE ” Practice Location

Language	Start Address	Practice Location

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