Provider Demographics
NPI:1508325531
Name:EVANGELICAL ALUMNI FOUNDATION CORPORATION
Entity Type:Organization
Organization Name:EVANGELICAL ALUMNI FOUNDATION CORPORATION
Other - Org Name:D. L. SOWELL HOUSING ASSOCIATION
Other - Org Type:Other Name
Authorized Official - Title/Position:HUMAN SERVICE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:D
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-914-5528
Mailing Address - Street 1:1315 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4719
Mailing Address - Country:US
Mailing Address - Phone:267-588-4549
Mailing Address - Fax:
Practice Address - Street 1:1315 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4719
Practice Address - Country:US
Practice Address - Phone:267-588-4549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare