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Organization

BAY AREA MARANATHA CHRISTIAN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYRONE PARTEE DMIN (SENIOR PASTOR/CEO)
(669) 270-9369
Entity
Organization

Contact information

Practice address
1811 S 7TH ST, SAN JOSE, CA 95112-6074
(408) 280-7292
Mailing address
1811 S 7TH ST, SAN JOSE, CA 95112-6074

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
251X00000X
Supports Brokerage Agency

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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