Organization
POWER HOUSE MIRACLE CENTER MINISTRIES INC.
Active
Other names
The Kings House II
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA A WADE (ADMINISTRATOR)
(904) 894-6828
Entity
Organization
Contact information
Practice address
12373 CADLEY CIR, JACKSONVILLE, FL 32219-1860
(904) 894-6828
Mailing address
12373 CADLEY CIR, JACKSONVILLE, FL 32219-1860
(904) 894-6828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12135
FL
Other
Enumeration date
03/26/2014
Last updated
11/05/2021
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