Healthcare Provider Details

I. General information

NPI: 1861226003
Provider Name (Legal Business Name): WORLD RELIEF CORPORATION OF NATIONAL ASSOCIATION OF EVANGELICALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 WATT AVE STE 110
SACRAMENTO CA
95825-0524
US

IV. Provider business mailing address

2233 WATT AVE STE 110
SACRAMENTO CA
95825-0524
US

V. Phone/Fax

Practice location:
  • Phone: 916-978-2650
  • Fax:
Mailing address:
  • Phone: 916-626-0827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MARK DANDENEAU
Title or Position: REGIONAL DIRECTOR
Credential: MSW
Phone: 916-626-0827