Organization
LIFE CHANGING MISSIONARY BAPTIST
Active
Organization
LIFE CHANGING MISSIONARY BAPTIST
Active
Parent organization
LIFE CHANGING MISSIONARY BAPTIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE CHANGING MISSIONARY BAPTIST
Authorized official
MR. TONY A BANKS MS (BISHOP/PASTOR)
(706) 575-6090
Entity
Organization
Contact information
Practice address
4605 LANGDON ST, COLUMBUS, GA 31907-4050
(706) 575-6090
(706) 324-3577
Mailing address
4605 LANGDON ST, COLUMBUS, GA 31907-4050
(706) 575-6090
(706) 324-3577
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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