Provider Demographics
NPI:1174867006
Name:SUNDARI FOUNDATION, INC.
Entity Type:Organization
Organization Name:SUNDARI FOUNDATION, INC.
Other - Org Name:LOTUS HOUSE WOMEN'S SHELTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:305-613-1573
Mailing Address - Street 1:1514 NW 15 STREET
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1860
Mailing Address - Country:US
Mailing Address - Phone:305-438-0556
Mailing Address - Fax:305-438-0557
Practice Address - Street 1:1514 NW 15TH STREET
Practice Address - Street 2:SUITE # 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1860
Practice Address - Country:US
Practice Address - Phone:305-438-0556
Practice Address - Fax:305-438-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable