Provider Demographics
NPI:1699926162
Name:KING SOLOMN HUMANITARIAN FOUNDATION
Entity type:Organization
Organization Name:KING SOLOMN HUMANITARIAN FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-697-7557
Mailing Address - Street 1:470 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2112
Mailing Address - Country:US
Mailing Address - Phone:508-697-7557
Mailing Address - Fax:508-697-1529
Practice Address - Street 1:470 PINE ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2112
Practice Address - Country:US
Practice Address - Phone:508-697-7557
Practice Address - Fax:508-697-1529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child