The Edge Community Church Of Suisun

LBN: The Edge Community Church Of Suisun
The Edge Community Church Of Suisun is an health care organization with primary practice located at 2166 Sacramento St , Vallejo CA 94590-3126. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Agencies / Voluntary or Charitable, Agencies / Supports Brokerage. Agencies / Voluntary or Charitable is the primary health care specialty. The Edge Community Church Of Suisun can be contacted via phone (707) 435-3995, or through Luciano, Germaine via phone (707) 438-8213.

Contact Information

Primary practice address
2166 Sacramento St Vallejo CA 94590-3126
Phone: (707) 435-3995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luciano, Germaine Bachelor of Arts (BA)
Phone: (707) 438-8213

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Agencies / Voluntary or Charitable 251V00000X
Agencies / Supports Brokerage 251X00000X

Profile Details

NPI number 1508549668
LBN Legal business name The Edge Community Church Of Suisun
DBA Doing business as
Authorized official Luciano, Germaine Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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