Provider Demographics
NPI:1073352159
Name:HABITAT FOR HUMANITY GOLDEN EMPIRE
Entity type:Organization
Organization Name:HABITAT FOR HUMANITY GOLDEN EMPIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALAMANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-861-8449
Mailing Address - Street 1:1500 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-5406
Mailing Address - Country:US
Mailing Address - Phone:661-861-8449
Mailing Address - Fax:
Practice Address - Street 1:1500 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-5406
Practice Address - Country:US
Practice Address - Phone:661-861-8449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HABITAT FOR HUMANITY INTERNATIONAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty