Provider Demographics
NPI:1114334877
Name:COMMUNITY HEALTH AND EDUCATION
Entity Type:Organization
Organization Name:COMMUNITY HEALTH AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTPR
Authorized Official - Prefix:
Authorized Official - First Name:FERDUS
Authorized Official - Middle Name:YUSUF
Authorized Official - Last Name:AWALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-344-9221
Mailing Address - Street 1:284 LISBON ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240
Mailing Address - Country:US
Mailing Address - Phone:207-344-9221
Mailing Address - Fax:
Practice Address - Street 1:57 BIRCH ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240
Practice Address - Country:US
Practice Address - Phone:207-344-9221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage