Organization
CARE FOR THE HOMELESS
Active
Organization
CARE FOR THE HOMELESS
Active
Other names
Care For The Homeless Jackson Avenue Family Residence
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIAN FLETCHER BLAKE (ASSISTANT EXECUTIVE DIRECTOR)
(212) 366-4459
Entity
Organization
Contact information
Practice address
691 E 138TH ST, BRONX, NY 10454-3307
(718) 993-8900
(212) 366-1773
Mailing address
30 E 33RD ST, NEW YORK, NY 10016-5337
(212) 366-4459
(212) 366-1773
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
70000279R
NY
Other
Enumeration date
12/27/2012
Last updated
04/15/2015
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