Organization
NEW REVELATION OF CHRIST CHURCH MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDELL M MITCHELL ORDAINED MINISTER (PASTOR)
(937) 305-0024
Entity
Organization
Contact information
Practice address
4018 QUAIL BUSH DR, DAYTON, OH 45424-4740
(937) 305-0024
Mailing address
4018 QUAIL BUSH DR, DAYTON, OH 45424-4740
(937) 305-0024
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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