Provider Demographics
NPI:1952639379
Name:COMMUNITY FEAST OF THE 5000 MINISTRY OUTREACH
Entity Type:Organization
Organization Name:COMMUNITY FEAST OF THE 5000 MINISTRY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIELD DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-293-0596
Mailing Address - Street 1:18750 SAWYER ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-3411
Mailing Address - Country:US
Mailing Address - Phone:313-293-0596
Mailing Address - Fax:
Practice Address - Street 1:18750 SAWYER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-3411
Practice Address - Country:US
Practice Address - Phone:313-293-0596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable