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Organization
THEOPHILOS III (IDO) INTERGENERATIONAL DIVERSIFIED OUTREACH MINISTRIES
Active
Organization
THEOPHILOS III (IDO) INTERGENERATIONAL DIVERSIFIED OUTREACH MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE COGSDELL (PRESIDENT CEO COMMUNITY OUTREACH)
(240) 678-0143
Entity
Organization
Contact information
Practice address
206 N HAYNE ST STE A, MONROE, NC 28112-4866
(704) 635-8860
Mailing address
206 N HAYNE ST STE A, MONROE, NC 28112-4866
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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