Provider Demographics
NPI:1649501263
Name:KENNEDY COMMUNITY DEVELOPMENT MINISTRIES
Entity type:Organization
Organization Name:KENNEDY COMMUNITY DEVELOPMENT MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-231-3605
Mailing Address - Street 1:1504 CADILLAC BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-3100
Mailing Address - Country:US
Mailing Address - Phone:313-231-3605
Mailing Address - Fax:313-933-3603
Practice Address - Street 1:1504 CADILLAC BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-3100
Practice Address - Country:US
Practice Address - Phone:313-231-3605
Practice Address - Fax:313-933-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable