Organization Name: | JEWISH FAMILY SERVICE OF THE DESERT |
NPI Number: | 1598758179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN FORMAN (EXECUTIVE DIRECTOR) |
Mailing Address: | 490 S Farrell Dr Suite C 208 Palm Springs |
State: | CA US |
Postal Code: | 922627992 |
Phone Number: | 7603254088 |
Fax Number: | 7607783781 |
NPI Enumeration Date: | 08/29/2005 |
NPI Last Update Date: | 10/28/2015 |
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: |