Provider Demographics
NPI:1770379398
Name:NU FAITH DEVELOPMENT CORP
Entity type:Organization
Organization Name:NU FAITH DEVELOPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-951-6332
Mailing Address - Street 1:122 S MICHIGAN AVE STE 1390
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-6036
Mailing Address - Country:US
Mailing Address - Phone:833-951-6332
Mailing Address - Fax:
Practice Address - Street 1:122 S MICHIGAN AVE STE 1390
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6036
Practice Address - Country:US
Practice Address - Phone:833-951-6332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)