Organization
GRACE & MERCY MISSIONARY BAPTIST CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA POULLARD (OWNER)
(409) 617-3891
Entity
Organization
Contact information
Practice address
2736 N 11TH ST, BEAUMONT, TX 77703-4608
(409) 617-2214
Mailing address
2375 FILLMORE ST, BEAUMONT, TX 77703-2244
(409) 617-3891
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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