Provider Demographics
NPI:1689183360
Name:TABOR COMMUNITY PARTNERS
Entity Type:Organization
Organization Name:TABOR COMMUNITY PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINESHA
Authorized Official - Middle Name:LASHON
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:215-842-4800
Mailing Address - Street 1:57 E ARMAT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-2201
Mailing Address - Country:US
Mailing Address - Phone:215-842-4800
Mailing Address - Fax:215-842-4809
Practice Address - Street 1:57 E ARMAT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-2201
Practice Address - Country:US
Practice Address - Phone:215-842-4800
Practice Address - Fax:215-842-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management