Provider Demographics
NPI:1841651452
Name:SHELTERED AID TO FAMILIES IN
Entity type:Organization
Organization Name:SHELTERED AID TO FAMILIES IN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-838-9169
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28697-0445
Mailing Address - Country:US
Mailing Address - Phone:336-838-9169
Mailing Address - Fax:336-838-4350
Practice Address - Street 1:1260 COLLEGE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28697-2700
Practice Address - Country:US
Practice Address - Phone:336-838-9169
Practice Address - Fax:336-838-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty