Provider Demographics
NPI:1083343768
Name:FANI FOUNDATION ORGANIZATION INC
Entity Type:Organization
Organization Name:FANI FOUNDATION ORGANIZATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-325-0052
Mailing Address - Street 1:PO BOX 70091
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89170-0091
Mailing Address - Country:US
Mailing Address - Phone:725-325-0052
Mailing Address - Fax:
Practice Address - Street 1:1555 E FLAMINGO RD STE 123
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5259
Practice Address - Country:US
Practice Address - Phone:725-325-0052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable