Provider Demographics
NPI:1770096463
Name:SUNDARI FOUNDATION, INC.
Entity type:Organization
Organization Name:SUNDARI FOUNDATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUSCIANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-438-0556
Mailing Address - Street 1:3921 ALTON RD # 468
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3852
Mailing Address - Country:US
Mailing Address - Phone:305-438-0556
Mailing Address - Fax:
Practice Address - Street 1:217 NW 15TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1832
Practice Address - Country:US
Practice Address - Phone:305-438-0556
Practice Address - Fax:305-438-0557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management