Organization
JUDAH GO GLOBAL FOUNDATION, LLC
Active
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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