Organization
CHRISTIAN COMMUNITY DELIVERANCE CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLICENT SAWYERR (PRSIDENT)
(612) 275-5132
Entity
Organization
Contact information
Practice address
13421 CEDAR AVE, APPLE VALLEY, MN 55124-8530
(612) 275-5132
Mailing address
13421 CEDAR AVE, APPLE VALLEY, MN 55124-8530
(612) 275-5132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4315
MN
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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