Provider Demographics
NPI:1700537495
Name:ONSLOW COMMUNITY OUTREACH
Entity Type:Organization
Organization Name:ONSLOW COMMUNITY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-455-5795
Mailing Address - Street 1:1210 HARGETT ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5933
Mailing Address - Country:US
Mailing Address - Phone:910-455-5733
Mailing Address - Fax:
Practice Address - Street 1:1210 HARGETT ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5933
Practice Address - Country:US
Practice Address - Phone:910-455-5733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodging
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No174200000XOther Service ProvidersMeals
No251K00000XAgenciesPublic Health or Welfare
No332U00000XSuppliersHome Delivered Meals