Organization Name: | KOINONIA PARTNERS UNLIMITED, LLC |
NPI Number: | 1033354105 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE BEASTROM (CEO) |
Mailing Address: | 16519 Albion Rd Strongsville |
State: | OH US |
Postal Code: | 441363622 |
Phone Number: | 4408789725 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2008 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |