Provider Demographics
NPI:1427436021
Name:JEFFREY DEAN FOUNDATION
Entity type:Organization
Organization Name:JEFFREY DEAN FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PEAKS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:614-398-1311
Mailing Address - Street 1:2572 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-1679
Mailing Address - Country:US
Mailing Address - Phone:614-778-6219
Mailing Address - Fax:
Practice Address - Street 1:2572 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-1679
Practice Address - Country:US
Practice Address - Phone:614-778-6219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFREY DEAN FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty