Provider Demographics
NPI:1336562529
Name:GRACE EPISCOPAL CHURCH, MIDDLETOWN NY
Entity Type:Organization
Organization Name:GRACE EPISCOPAL CHURCH, MIDDLETOWN NY
Other - Org Name:GUILD OF ST. MARGARET HOMEBOUND OUTREACH PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:RECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:WARFEL
Authorized Official - Suffix:
Authorized Official - Credentials:REV
Authorized Official - Phone:845-343-6101
Mailing Address - Street 1:12 DEPOT ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5707
Mailing Address - Country:US
Mailing Address - Phone:845-343-6101
Mailing Address - Fax:845-343-8321
Practice Address - Street 1:12 DEPOT ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5707
Practice Address - Country:US
Practice Address - Phone:845-343-6101
Practice Address - Fax:845-343-8321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals