Organization
JERICHO ROAD MINISTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE ENDRESS CREDENTIALING (CREDENTIALING SPECIALIST)
(716) 348-3000
Entity
Organization
Contact information
Practice address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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