Provider Demographics
NPI:1306213764
Name:HOLY FAMILY CENTER, INC
Entity Type:Organization
Organization Name:HOLY FAMILY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBAR
Authorized Official - Middle Name:F
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MAPT, MDIV, PHD CAND
Authorized Official - Phone:260-639-7397
Mailing Address - Street 1:3709 E YODER RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46819-9542
Mailing Address - Country:US
Mailing Address - Phone:260-639-7397
Mailing Address - Fax:260-639-7397
Practice Address - Street 1:3709 E YODER RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46819-9542
Practice Address - Country:US
Practice Address - Phone:260-639-7397
Practice Address - Fax:260-639-7397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2007051000425/200705251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable