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Organization

KINGDOM BUILDING SERVICES LLC

Active
Parent organization
KINGDOM BUILDING SERVICES
Other names
kingdom builders minister, inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
KINGDOM BUILDING SERVICES
Authorized official
GRISSELLE IVETTE SIMPSON REV (OWNER)
(352) 678-8554
Entity
Organization

Contact information

Practice address
833 WILLOW RUN ST, SUITE A, MINNEOLA, FL 34715
(352) 678-8554
Mailing address
833 WILLOW RUN ST, SUITE A, MINNEOLA, FL 34715-5768
(407) 347-8204

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
06/16/2010
Last updated
09/09/2011
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