Provider Demographics
NPI:1609021500
Name:NEIGHBORHOOD OUTREACH COMMUNITY CHURCH
Entity Type:Organization
Organization Name:NEIGHBORHOOD OUTREACH COMMUNITY CHURCH
Other - Org Name:NEIGHBORHOOD OUTREACH HOUSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:VIVIAN
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-829-7124
Mailing Address - Street 1:8860 GOMBERG CT
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-9747
Mailing Address - Country:US
Mailing Address - Phone:734-829-7124
Mailing Address - Fax:
Practice Address - Street 1:8860 GOMBERG CT
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-9747
Practice Address - Country:US
Practice Address - Phone:734-829-7124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
177F00000X
MI251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodgingGroup - Single Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Single Specialty