Organization Name: | CARE FOR THE HOMELESS |
NPI Number: | 1013253327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIAN FLETCHER BLAKE (ASSISTANT EXECUTIVE DIRECTOR) |
Mailing Address: | 9023 161st St Jamaica |
State: | NY US |
Postal Code: | 114326107 |
Phone Number: | 7187095054 |
Fax Number: | 2123661773 |
NPI Enumeration Date: | 12/14/2012 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 70000279R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |