Provider Demographics
NPI:1255809273
Name:BOOKS OF COLOR, LLC
Entity type:Organization
Organization Name:BOOKS OF COLOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:JOWAN
Authorized Official - Middle Name:DEVENTA
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-742-4906
Mailing Address - Street 1:1222 WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239
Mailing Address - Country:US
Mailing Address - Phone:443-742-4906
Mailing Address - Fax:
Practice Address - Street 1:1222 WALKER AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239
Practice Address - Country:US
Practice Address - Phone:443-742-4906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty