Provider Demographics
NPI:1629463971
Name:DEBORAH & CO COMMUNITY OUTREACH
Entity Type:Organization
Organization Name:DEBORAH & CO COMMUNITY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:DEBORAH
Authorized Official - Last Name:FARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA,QMHP
Authorized Official - Phone:757-270-1816
Mailing Address - Street 1:538 APPALOOSA TRL
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1000
Mailing Address - Country:US
Mailing Address - Phone:757-270-1816
Mailing Address - Fax:
Practice Address - Street 1:538 APPALOOSA TRL
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-1000
Practice Address - Country:US
Practice Address - Phone:757-270-1816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health