Organization
CITY OF JESUS PROMISE LAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE WOODY (OWNER)
(919) 641-1337
Entity
Organization
Contact information
Practice address
1321 HUMPHREY ST, DURHAM, NC 27701-4229
(919) 641-1337
Mailing address
1321 HUMPHREY ST, DURHAM, NC 27701-4229
(919) 641-1337
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/06/2023
Last updated
02/08/2023
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