Provider Demographics
NPI:1477757755
Name:OUT CAME THE SUN FOUNDATION, INC
Entity Type:Organization
Organization Name:OUT CAME THE SUN FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI ANN
Authorized Official - Middle Name:AYANIAN
Authorized Official - Last Name:MADHOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-649-7170
Mailing Address - Street 1:PO BOX 1687
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20849-1687
Mailing Address - Country:US
Mailing Address - Phone:301-649-7170
Mailing Address - Fax:301-260-8487
Practice Address - Street 1:7 SAINT PAUL ST
Practice Address - Street 2:SUITE 1660
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-1626
Practice Address - Country:US
Practice Address - Phone:301-649-7170
Practice Address - Fax:301-260-8487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty