Organization
EVANGEL STREET & BYWAY MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY MONROE (PRESIDENT)
(313) 717-2513
Entity
Organization
Contact information
Practice address
12732 LORETTO ST, DETROIT, MI 48205-3941
(313) 371-1404
(313) 371-1404
Mailing address
12732 LORETTO ST, DETROIT, MI 48205-3941
(313) 371-1404
(313) 371-1404
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
560428014298
MI
Other
Enumeration date
11/25/2008
Last updated
11/26/2008
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