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Organization
INTERDENOMINATIONAL CHURCH OF CHRISTIAN LOVE, INC
Active
Organization
INTERDENOMINATIONAL CHURCH OF CHRISTIAN LOVE, INC
Active
Other names
St Martin's Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PUMPHREY (FOUNDER)
(414) 961-1614
Entity
Organization
Contact information
Practice address
6310 N PORT WASHINGTON RD, GLENDALE, WI 53217-4300
(414) 961-1614
(414) 961-1616
Mailing address
6310 N PORT WASHINGTON RD, GLENDALE, WI 53217-4300
(414) 961-1614
(414) 961-1616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/21/2012
Last updated
10/31/2012
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