Organization Name: | PARKVIEW OUTREACH COMMUNITY CENTER |
NPI Number: | 1487968806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROOSEVELT THOMAS (CHAIRMAN OF THE BOARD) |
Mailing Address: | 1205 Dr Martin L King Jr Way Haines City |
State: | FL US |
Postal Code: | 338443490 |
Phone Number: | 8633536853 |
Fax Number: | 8634382752 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 07/27/2010 |
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: |