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Organization

PRAISE THE LORD MINISTRY

Active
Other names
PTL Home health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TYRONE JOHNSON (OFFICER MANAGER)
(941) 425-3640
Entity
Organization

Contact information

Practice address
338 RHEW ST, FAYETTEVILLE, NC 28303-3354
(910) 425-3640
(910) 425-0150
Mailing address
338 RHEW ST, FAYETTEVILLE, NC 28303-3354
(910) 425-3640
(910) 425-0150

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC2573
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409609
NC
Enumeration date
03/18/2009
Last updated
03/18/2009
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