Organization
JESUS 911 COMMUNITY MINISTRIERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KIETH LOMAS I PASTOR (FOUNDER)
(419) 330-4102
Entity
Organization
Contact information
Practice address
418 BIRCH ST, WAUSEON, OH 43567-1409
(419) 330-4102
Mailing address
418 BIRCH ST, WAUSEON, OH 43567-1409
(419) 330-4102
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
141666
OH
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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