Provider Demographics
NPI:1134692668
Name:ST ANTHONY'S COMMUNITY CENTER INC
Entity Type:Organization
Organization Name:ST ANTHONY'S COMMUNITY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-421-3733
Mailing Address - Street 1:1703 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-2709
Mailing Address - Country:US
Mailing Address - Phone:302-421-3721
Mailing Address - Fax:302-421-3725
Practice Address - Street 1:1703 W 10TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-2709
Practice Address - Country:US
Practice Address - Phone:302-421-3721
Practice Address - Fax:302-421-3725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals