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BETHEL DELVERANCE TABERNACLE INTERNATION NPI 1770728552


NPI Information

NPI: 1770728552
Provider Name: BETHEL DELVERANCE TABERNACLE INTERNATION
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
7200 HARPER AVE
DETROIT, MI
ZIP 48213
Phone: (313) 921-3100
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BETHEL DELVERANCE TABERNACLE INTERNATION is a voluntary or charitable in Detroit, MI. BETHEL DELVERANCE TABERNACLE INTERNATION NPI is 1770728552. The provider is registered as an organization entity type.

The provider's business location address is:

7200 HARPER AVE
DETROIT, MI
ZIP 48213-404
Phone: (313) 921-3100
Fax: (313) 921-7574

The provider's authorized official is Milton Woods .
The authorized official title is Ceo and has the following contact phone number (313) 921-3100.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 12/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251V00000XVoluntary or CharitableMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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