Organization
PROMISED LAND CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA TILLMAN (CEO)
(313) 685-6643
Entity
Organization
Contact information
Practice address
4545 HEREFORD ST, DETROIT, MI 48224-1404
(313) 685-6643
(313) 417-5652
Mailing address
4545 HEREFORD ST, DETROIT, MI 48224-1404
(313) 685-6643
(313) 417-5652
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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