Organization
A FRESH START ORG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNE C HALL (ADMIN)
(252) 822-1790
Entity
Organization
Contact information
Practice address
301 S CHURCH ST STE 153, ROCKY MOUNT, NC 27804-5748
(252) 822-1790
(252) 577-4677
Mailing address
301 S CHURCH ST STE 153, ROCKY MOUNT, NC 27804-5748
(252) 822-1790
(252) 577-4677
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
03/07/2022
Last updated
03/14/2022
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