Healthcare Provider Details
I. General information
NPI: 1881845998
Provider Name (Legal Business Name): LADIES OF GOD'S WORD MINISTRY,INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2008
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2470 GRAY FALLS DR STE 250
HOUSTON TX
77077-6514
US
IV. Provider business mailing address
2470 GRAY FALLS DR STE 250
HOUSTON TX
77077-6514
US
V. Phone/Fax
- Phone: 832-889-8929
- Fax: 281-858-6536
- Phone: 832-889-8929
- Fax: 281-858-6536
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EFFIE
DAVIS
WEIR
Title or Position: ADMINISTRATOR
Credential: BSN,MCC,PHD
Phone: 832-889-8929