Organization
GODS INCREDIBLE LIGHT ON THE PATH TO HIS WORD FELLOWSHIP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDROS SHEPPARD (SR PASTOR)
(281) 830-0511
Entity
Organization
Contact information
Practice address
1759 COUNTY ROAD 486, DAYTON, TX 77535-7968
(281) 830-0511
(281) 667-3116
Mailing address
1759 COUNTY ROAD 486, DAYTON, TX 77535-7968
(281) 830-0511
(281) 667-3116
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
01/15/2025
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