Organization
PREMIUM OUTREACH MINISTRY CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERMA BERNARD (DIRECTOR)
(313) 933-3114
Entity
Organization
Contact information
Practice address
8605 APPOLINE ST, DETROIT, MI 48228-4039
(313) 933-3114
Mailing address
8605 APPOLINE ST, DETROIT, MI 48228-4039
(313) 933-3114
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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