Organization
KINGDOM BUILDERS MINISTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRISSELLE IVETTE DAVIS REVEREND (PRESIDENT)
(352) 678-8554
Entity
Organization
Contact information
Practice address
200 E WASHINGTON ST, MINNEOLA, FL 34715-9250
(352) 432-3704
(352) 988-5866
Mailing address
200 E WASHINGTON ST, MINNEOLA, FL 34715-9250
(352) 432-3704
(352) 988-5866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
01/06/2012
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