Organization · Type 2 NPI
The Edge Community Church of Suisun
Voluntary or Charitable Agency · Vallejo, CA
NPI number
1508549668
Active
Practice location
2166 Sacramento St
Vallejo, CA 94590-3126
Mailing address
PO Box 2404
Suisun City, CA 94585-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
| Supports Brokerage Agency | 251X00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1508549668
The Edge Community Church of Suisun's National Provider Identifier is 1508549668, issued on Aug 7, 2023. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Vallejo, CA. The record was last updated on Aug 7, 2023.