Healthcare Provider Details

I. General information

NPI: 1922251909
Provider Name (Legal Business Name): AURORASUPPORTSERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SOUTH MAIN ST
HIGHPOINT NC
27262
US

IV. Provider business mailing address

2108 CANDELAR DR
HIGHPOINT NC
27265
US

V. Phone/Fax

Practice location:
  • Phone: 336-259-0528
  • Fax: 336-841-2323
Mailing address:
  • Phone: 336-259-0528
  • Fax: 336-841-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MUNAZZA TABASSUM RAHIM
Title or Position: PRESIDENT
Credential:
Phone: 336-259-0528