Provider Demographics
NPI:1235828401
Name:URBAN CONGRESS OF CHURCHES AND MINISTRIES INCORPORATED
Entity Type:Organization
Organization Name:URBAN CONGRESS OF CHURCHES AND MINISTRIES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-436-6170
Mailing Address - Street 1:600 BOULEVARD SOUTH SW STE 104
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-2175
Mailing Address - Country:US
Mailing Address - Phone:347-436-6170
Mailing Address - Fax:
Practice Address - Street 1:600 BOULEVARD SOUTH SW STE 104
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2175
Practice Address - Country:US
Practice Address - Phone:347-436-6170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based