Provider Demographics
NPI:1124566476
Name:HOUSING AUTHORITY OF THE CITY OF SALEM
Entity Type:Organization
Organization Name:HOUSING AUTHORITY OF THE CITY OF SALEM
Other - Org Name:SALEM HOUSING AUTHORITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-587-4819
Mailing Address - Street 1:360 CHURCH ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3707
Mailing Address - Country:US
Mailing Address - Phone:503-373-3807
Mailing Address - Fax:
Practice Address - Street 1:360 CHURCH ST SE
Practice Address - Street 2:
Practice Address - City:SALE,
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-373-3807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management