Provider Demographics
NPI:1508107095
Name:TASKFORCE FORE ENDING HOMELESSNESS, INC.
Entity Type:Organization
Organization Name:TASKFORCE FORE ENDING HOMELESSNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILBY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:954-525-3494
Mailing Address - Street 1:915 NE 3RD AVE
Mailing Address - Street 2:STE. 3
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1921
Mailing Address - Country:US
Mailing Address - Phone:954-525-3494
Mailing Address - Fax:954-527-2511
Practice Address - Street 1:915 NE 3RD AVE
Practice Address - Street 2:STE. 3
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1921
Practice Address - Country:US
Practice Address - Phone:954-525-3494
Practice Address - Fax:954-527-2511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable