Provider Demographics
NPI:1477819779
Name:KOREAN COMMUNITY SERVICE CENTER OF GREATER WASHINGTON, INC.
Entity Type:Organization
Organization Name:KOREAN COMMUNITY SERVICE CENTER OF GREATER WASHINGTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JI-YOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-354-9345
Mailing Address - Street 1:7700 LITTLE RIVER TPKE STE 406
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2406
Mailing Address - Country:US
Mailing Address - Phone:703-354-6345
Mailing Address - Fax:703-354-6391
Practice Address - Street 1:7700 LITTLE RIVER TPKE STE 406
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2406
Practice Address - Country:US
Practice Address - Phone:703-354-6345
Practice Address - Fax:703-354-6391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable