# EL SHADDAI MINISTRY CO.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891023834
- **Authorized official:** DR. JANIS MARIE STEWART RN,MSN, DNSC (AMINISTRATOR)
- **Authorized official phone:** (574) 273-1733

## Contact information

- **Practice address:** 53280 PLACID DR, SOUTH BEND, IN 46637-3542
- **Practice address phone:** (574) 273-1733
- **Mailing address:** 53280 PLACID DR, SOUTH BEND, IN 46637-3542
- **Mailing address phone:** (574) 273-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2009
- **Last updated:** 12/03/2009