Provider Demographics
NPI:1871349175
Name:EMERGENCY FOOD BANK
Entity type:Organization
Organization Name:EMERGENCY FOOD BANK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITION EDUCATION PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-464-7369
Mailing Address - Street 1:7 W SCOTTS AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95203-3431
Mailing Address - Country:US
Mailing Address - Phone:209-464-7369
Mailing Address - Fax:
Practice Address - Street 1:7 W SCOTTS AVE
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95203-3431
Practice Address - Country:US
Practice Address - Phone:209-464-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No332U00000XSuppliersHome Delivered Meals