Provider Demographics
NPI:1386783678
Name:GIFT OF LIFE FOUNDATION
Entity type:Organization
Organization Name:GIFT OF LIFE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JINRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-272-1820
Mailing Address - Street 1:1348 CARMICHAEL WAY
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3694
Mailing Address - Country:US
Mailing Address - Phone:334-272-1820
Mailing Address - Fax:334-272-4614
Practice Address - Street 1:1348 CARMICHAEL WAY
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3694
Practice Address - Country:US
Practice Address - Phone:334-272-1820
Practice Address - Fax:334-272-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty