Provider Demographics
NPI:1902189921
Name:THE SERVANT CENTER
Entity Type:Organization
Organization Name:THE SERVANT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REECE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:336-275-8585
Mailing Address - Street 1:1312 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-3507
Mailing Address - Country:US
Mailing Address - Phone:336-275-8585
Mailing Address - Fax:336-370-1540
Practice Address - Street 1:1312 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3507
Practice Address - Country:US
Practice Address - Phone:336-275-8585
Practice Address - Fax:336-370-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable