Provider Demographics
NPI:1821235912
Name:FAMILY MATTERS OUTREACH MINISTRIES CHURCH
Entity Type:Organization
Organization Name:FAMILY MATTERS OUTREACH MINISTRIES CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:IFETAYO
Authorized Official - Last Name:CHAFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:313-303-3212
Mailing Address - Street 1:14570 GRANDVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-2231
Mailing Address - Country:US
Mailing Address - Phone:313-303-3212
Mailing Address - Fax:
Practice Address - Street 1:19330 ASBURY PARK
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2403
Practice Address - Country:US
Practice Address - Phone:313-303-3212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable