MEDICARE: EMPLOYMENT AIDE &SERVICES

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	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518150267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPLOYMENT AIDE &SERVICES

Provider Business Mailing Address
First Line	:	454 E RUSSELL ST STE A
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-5764
Country	:	US
Telephone Number	:	910-484-3262
Fax Number	:	910-485-0629

Provider Business Practice Location Address
First Line	:	3451 MCCHOEN DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-2547
Country	:	US
Telephone Number	:	910-822-4742
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ANGELA N. OKORIEOCHA
Credential	:
Telephone Number	:	910-484-3262

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	06/25/2008

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