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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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