Healthcare Provider Details

I. General information

NPI: 1073767471
Provider Name (Legal Business Name): RHEMA-IN-ACTION OUTREACH MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 04/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7917 MAIN STREET
VANCEBORO NC
28586
US

IV. Provider business mailing address

P.O. BOX 30
VANCEBORO NC
28586
US

V. Phone/Fax

Practice location:
  • Phone: 252-571-5430
  • Fax:
Mailing address:
  • Phone: 252-571-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MS. REMA MONIQUE DAWSON
Title or Position: DIRECTOR/BOARD CHAIR
Credential:
Phone: 252-571-5430