Provider Demographics
NPI:1184043036
Name:VETERANS COMMUNITY FOUNDATION
Entity Type:Organization
Organization Name:VETERANS COMMUNITY FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-334-4376
Mailing Address - Street 1:640 GEORGE WASHINGTON HWY
Mailing Address - Street 2:BUILDING B, LOWER LEVEL
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4332
Mailing Address - Country:US
Mailing Address - Phone:401-334-4376
Mailing Address - Fax:401-334-4378
Practice Address - Street 1:640 GEORGE WASHINGTON HWY
Practice Address - Street 2:BUILDING B LOWER LEVEL
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4332
Practice Address - Country:US
Practice Address - Phone:401-334-4376
Practice Address - Fax:401-334-4378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty