Organization
THE CHURCH OF PHILADELPHIA INC.
Active
Other names
Community Health Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERI J EVANS (PASTOR)
(801) 657-3422
Entity
Organization
Contact information
Practice address
2358 SOUTH MAIN STREET, SALT LAKE CITY, UT 84115
(801) 657-3422
Mailing address
2358 SOUTH MAIN STREET, SALT LAKE CITY, UT 84115
(801) 657-3422
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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