Organization
THE KINGDOM FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CECIL EZEKIEL BRIDGEFORTH (CEO/PRESIDENT)
(434) 421-9447
Entity
Organization
Contact information
Practice address
110 EXCHANGE ST STE C, DANVILLE, VA 24541-3500
(434) 421-9447
(434) 857-2219
Mailing address
110 EXCHANGE ST STE C, DANVILLE, VA 24541-3500
(434) 421-9447
(434) 857-2219
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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