CHURCH OF THE LIVING GOD PGT NPI 1124352281

NPI Information

CHURCH OF THE LIVING GOD PGT is a non emergency medical transport van in Dallas, TX. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. CHURCH OF THE LIVING GOD PGT NPI is 1124352281. The provider is registered as an organization entity type.
The provider Is Doing Business As Church Of The Living God Pgt.

The provider's business location address is:

2610 E LEDBETTER DR
2610 E LEDBETTER DRIVE
DALLAS, TX
ZIP 75216-404
Phone: (214) 372-3369

The provider's authorized official is Charles Cleveland Junior .
The authorized official title is Pastor and has the following contact phone number (214) 372-3369.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 9/22/2009.

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:

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