Organization
BREAKTHROUGH REVIVAL PENTECOSTAL HOLINESS CHURCH
Active
Organization
BREAKTHROUGH REVIVAL PENTECOSTAL HOLINESS CHURCH
Active
Other names
Breakthrough Revival Center Church, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA K JONES (ADMINISTRATOR)
(252) 985-1875
Entity
Organization
Contact information
Practice address
210 CHURCH ST, GREENVILLE, NC 27834-1212
(252) 985-1875
(252) 399-0526
Mailing address
PO BOX 31026, GREENVILLE, NC 27833-1026
(252) 985-1875
(252) 399-0526
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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