EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH NPI 1841511789

NPI Information

NPI: 1841511789
Provider Name: EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
25226 INGLESIDE DR
SOUTHFIELD, MI
ZIP 48033
Phone: (313) 868-1405
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EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH is a voluntary or charitable in Southfield, MI. EXCELLENT DICIPLES OF SUCCESS OUTREACH CHURCH NPI is 1841511789. The provider is registered as an organization entity type.

The provider's business location address is:

25226 INGLESIDE DR
SOUTHFIELD, MI
ZIP 48033-837
Phone: (313) 868-1405

The provider's authorized official is Issac E Lewis .
The authorized official title is Ceo and has the following contact phone number (313) 868-1405.

The enumeration date for this NPI number is 6/15/2010 and was last updated on 6/15/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable				Yes

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

NPI Synchronization or Removal

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