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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