Healthcare Provider Details
I. General information
NPI: 1578309316
Provider Name (Legal Business Name): SUSTAINABLE CAPE-CENTER FOR AGRICULTURAL PRESERVATION & EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2024
Last Update Date: 07/02/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
314 US-6
TRURO MA
02666
US
IV. Provider business mailing address
PO BOX 988
TRURO MA
02666-0988
US
V. Phone/Fax
- Phone: 774-383-3169
- Fax:
- Phone: 774-383-3169
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
EMILY
HILL
Title or Position: ADMINISTRATOR
Credential:
Phone: 774-383-3169