Provider Demographics
NPI:1710011069
Name:RONALD MCDONALD HOUSE OF GAINESVILLE
Entity Type:Organization
Organization Name:RONALD MCDONALD HOUSE OF GAINESVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-374-4404
Mailing Address - Street 1:1600 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1548
Mailing Address - Country:US
Mailing Address - Phone:352-374-4404
Mailing Address - Fax:352-335-5325
Practice Address - Street 1:1600 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1548
Practice Address - Country:US
Practice Address - Phone:352-374-4404
Practice Address - Fax:352-335-5325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable