Organization
WORD OF LIFE MINISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN W BYNUM (PRESIDENT)
(559) 579-0649
Entity
Organization
Contact information
Practice address
1303 W 88TH ST, LOS ANGELES, CA 90044-2127
(559) 579-0649
Mailing address
PO BOX 2631, FRESNO, CA 93745-2631
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
242415
CA
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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