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Organization
PRAISE THE LORD MINISTRY
Active
Organization
PRAISE THE LORD MINISTRY
Active
Other names
PTL Home health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE JOHNSON (OFFICE MANAGER)
(910) 425-3640
Entity
Organization
Contact information
Practice address
1109 CENTER STREET, FAYETTEVILLE, NC 28348
(910) 425-3640
Mailing address
1109 CENTER STREET, FAYETTEVILLE, NC 28348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409609
CAP
NC
05
—
6601127
—
NC
Enumeration date
06/19/2007
Last updated
08/22/2020
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