Provider Demographics
NPI:1912350307
Name:GIFT OF GIVING
Entity Type:Organization
Organization Name:GIFT OF GIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANESSA
Authorized Official - Middle Name:ALBRITTON
Authorized Official - Last Name:CANIDATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-321-6343
Mailing Address - Street 1:925 ARLINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-4029
Mailing Address - Country:US
Mailing Address - Phone:850-321-6343
Mailing Address - Fax:850-662-4988
Practice Address - Street 1:925 ARLINGTON CIR
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-4029
Practice Address - Country:US
Practice Address - Phone:850-321-6343
Practice Address - Fax:850-662-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688704096Medicaid