Organization
TEMPLE OF THE LORD OUTREACH MINISTRIES INC.
Active
Parent organization
TEMPLE OF THE LORD OUTREACH MINISTRIES INC.62866637
Other names
Agape House
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMPLE OF THE LORD OUTREACH MINISTRIES INC.62866637
Authorized official
MR. DENNIS GRAY III (PRESIDENT)
(702) 682-9225
Entity
Organization
Contact information
Practice address
94 ANCIENT HILLS LN, HENDERSON, NV 89074-1750
(702) 682-9225
Mailing address
PO BOX 94091, LAS VEGAS, NV 89193-4091
(702) 682-9225
(702) 475-6845
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NV20051605735
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740564699
—
NV
Enumeration date
11/02/2012
Last updated
11/02/2012
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