Provider Demographics
NPI:1982430849
Name:THE EMMANUEL PROJECT
Entity type:Organization
Organization Name:THE EMMANUEL PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-848-7441
Mailing Address - Street 1:1622 PALERMO DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2393
Mailing Address - Country:US
Mailing Address - Phone:951-848-7441
Mailing Address - Fax:951-892-0249
Practice Address - Street 1:3373 STRONG ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-1976
Practice Address - Country:US
Practice Address - Phone:951-848-7441
Practice Address - Fax:951-892-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging