Provider Demographics
NPI:1508530262
Name:ALL SECURE FOUNDATION
Entity Type:Organization
Organization Name:ALL SECURE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:DELELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-527-6969
Mailing Address - Street 1:3636 S GEYER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1237
Mailing Address - Country:US
Mailing Address - Phone:910-527-6969
Mailing Address - Fax:
Practice Address - Street 1:9066 MIDDLEWOOD CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1312
Practice Address - Country:US
Practice Address - Phone:910-527-6969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable