MEDICARE: FIRST ENDEAVORS INC.

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	251V00000X	Voluntary or Charitable Agency
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1962788737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST ENDEAVORS INC.

Provider Business Mailing Address
First Line	:	101 W MAIN ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-3603
Country	:	US
Telephone Number	:	855-347-7363
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 WOODSIDE PARK LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-6029
Country	:	US
Telephone Number	:	855-347-7363
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. HEATHER BARNHARDT
Credential	:
Telephone Number	:	855-347-7363

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	10/25/2011

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