Provider Demographics
NPI:1881734218
Name:RICH COMMUNITY DEVELOPMENT CORPORATION
Entity type:Organization
Organization Name:RICH COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLYMPEIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-744-9293
Mailing Address - Street 1:651 AKRON DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-3702
Mailing Address - Country:US
Mailing Address - Phone:336-744-9293
Mailing Address - Fax:
Practice Address - Street 1:651 AKRON DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-3702
Practice Address - Country:US
Practice Address - Phone:336-744-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8700426Medicaid