Organization
THE WILL OF GOD MINISTRIES OUTREACH PROGRAM
Active
Parent organization
WILL OF GOD MINISTRIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILL OF GOD MINISTRIES
Authorized official
DR. JOHNNY COX (EXECUTIVE DIRECTOR)
(318) 932-3177
Entity
Organization
Contact information
Practice address
1113 CALLIOPE ST, COUSHATTA, LA 71019-8306
(318) 932-3177
Mailing address
1113 CALLIOPE ST, COUSHATTA, LA 71019-8306
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10775
LA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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