Provider Demographics
NPI:1649466970
Name:RONALD MCDONALD HOUSE OF CHARLOTTESVILLE
Entity type:Organization
Organization Name:RONALD MCDONALD HOUSE OF CHARLOTTESVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-295-1885
Mailing Address - Street 1:300 9TH ST SW
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-3454
Mailing Address - Country:US
Mailing Address - Phone:434-295-1885
Mailing Address - Fax:434-295-7735
Practice Address - Street 1:300 9TH ST SW
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-3454
Practice Address - Country:US
Practice Address - Phone:434-295-1885
Practice Address - Fax:434-295-7735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable