Provider Demographics
NPI:1518464478
Name:APPROPRIATE BASIC COMMUNITY DEVELOPMENT.
Entity Type:Organization
Organization Name:APPROPRIATE BASIC COMMUNITY DEVELOPMENT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:KERONCHE
Authorized Official - Last Name:OMBICHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-358-1308
Mailing Address - Street 1:90 ANDREW ST APT 3
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2655
Mailing Address - Country:US
Mailing Address - Phone:551-358-1308
Mailing Address - Fax:
Practice Address - Street 1:90 ANDREW ST APT 3
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2655
Practice Address - Country:US
Practice Address - Phone:551-358-1308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-08
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility