Organization
EMMANUEL HOUSE OF PRAISE OUTREACH MINISTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAYNE WILLIAMS B.S. (EXECUTIVE DIRECTOR)
(573) 718-2104
Entity
Organization
Contact information
Practice address
1504 N 14TH ST, POPLAR BLUFF, MO 63901-2921
(877) 362-6853
(877) 362-6853
Mailing address
1504 N 14TH ST, POPLAR BLUFF, MO 63901-2921
(877) 362-6853
(877) 362-6853
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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