Organization
GOD'S WORD BIBLE CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A YANCY (PASTOR/PRESIDENT: COUNSELOR)
(916) 914-5012
Entity
Organization
Contact information
Practice address
1513 SPORTS DR STE 350, SACRAMENTO, CA 95834-1903
(916) 696-2511
Mailing address
2701 DEL PASO RD # 130-250, SACRAMENTO, CA 95835-2305
(916) 696-2511
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
AII15590316
CA
Other
Enumeration date
01/29/2017
Last updated
02/08/2017
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