Provider Demographics
NPI:1982883351
Name:AFRICAN INITIATIVE FOR COMMUNITY DEVELOPMENT, INC
Entity Type:Organization
Organization Name:AFRICAN INITIATIVE FOR COMMUNITY DEVELOPMENT, INC
Other - Org Name:AICD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYEMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-842-8834
Mailing Address - Street 1:7101 VIRGINIA PKWY
Mailing Address - Street 2:#917
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5753
Mailing Address - Country:US
Mailing Address - Phone:214-842-8834
Mailing Address - Fax:214-842-8834
Practice Address - Street 1:7101 VIRGINIA PKWY
Practice Address - Street 2:#917
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5753
Practice Address - Country:US
Practice Address - Phone:214-842-8834
Practice Address - Fax:214-842-8834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management