Provider Demographics
NPI:1982212254
Name:SACREMENTO THEOLOGICAL SEMINARY AND BIBLE COLLEGE
Entity Type:Organization
Organization Name:SACREMENTO THEOLOGICAL SEMINARY AND BIBLE COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CULINARY OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-885-6157
Mailing Address - Street 1:65568 ACOMA AVE APT 1001
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-3567
Mailing Address - Country:US
Mailing Address - Phone:760-885-6157
Mailing Address - Fax:
Practice Address - Street 1:64680 PIERSON BLVD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-2910
Practice Address - Country:US
Practice Address - Phone:760-885-6157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals