Organization
JUDAH GO GLOBAL FOUNDATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA SANDERFIELD MD, MBA, BA (CHIEF EXECUTIVE OFFICER)
(734) 510-9972
Entity
Organization
Contact information
Practice address
33 LABELLE ST APT 610, HIGHLAND PARK, MI 48203-3687
(615) 510-4160
Mailing address
4206 PACKARD ST APT 2, ANN ARBOR, MI 48108-1525
(888) 958-5640
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
282NR1301X
Rural Acute Care Hospital
—
—
3418M1110X
Military or U.S. Coast Guard Ground Transport Ambulance
—
—
Other
Enumeration date
04/12/2020
Last updated
04/11/2022
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