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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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