Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI Number | 1598040032 |
||||
| LBN Legal business name | PARRIS FOUNDATION | ||||
| Authorized official | KATHERINE BACON - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/16/2011 | ||||
| Last updated | 08/28/2012 - About 14 years ago | ||||
| Identifiers |
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