Organization
CHURCH OF THE LIVING GOD PGT
Active
Other names
CHURCH OF THE LIVING GOD PGT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES CLEVELAND JUNIOR MINISTER (PASTOR)
(214) 372-3369
Entity
Organization
Contact information
Practice address
2610 E LEDBETTER DR, 2610 E LEDBETTER DRIVE, DALLAS, TX 75216-7404
(214) 372-3369
Mailing address
2610 E LEDBETTER DR, P O BOX 41485, DALLAS, TX 75216-7404
(214) 372-3369
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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