Provider Demographics
NPI:1205584299
Name:KINGS COUNTY HUMAN SERVICES AGENCY
Entity type:Organization
Organization Name:KINGS COUNTY HUMAN SERVICES AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ATONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-852-2210
Mailing Address - Street 1:1400 W LACEY BLVD BLDG 8
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5997
Mailing Address - Country:US
Mailing Address - Phone:559-852-2214
Mailing Address - Fax:
Practice Address - Street 1:1400 W LACEY BLVD BLDG 8
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5997
Practice Address - Country:US
Practice Address - Phone:559-852-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251X00000XAgenciesSupports Brokerage