NPI Code Detail JSON Logo

1396058368 NPI number — PRECIOUS IN GODS EYES HARRIS ROOM AND BOARD OUTREACH MINISTRY CHURCH

NPI Number: 1396058368
Health Care Provider/Practitioner: PRECIOUS IN GODS EYES HARRIS ROOM AND BOARD OUTREACH MINISTRY CHURCH

Information about “1396058368” NPI (PRECIOUS IN GODS EYES HARRIS ROOM AND BOARD OUTREACH MINISTRY CHURCH) exists in 1396058368 in HTML format HTML  |  1396058368 in plain Text format TXT  |  1396058368 in PDF (Portable Document Format) PDF  |  1396058368 in an XML format XML  formats.

NPI Number : 1396058368 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396058368",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PRECIOUS IN GODS EYES HARRIS ROOM AND BOARD OUTREACH MINISTRY CHURCH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24601 MCDONALD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEARBORN HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48125-1809",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-924-5885",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "24601 MCDONALD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEARBORN HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48125-1809",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-924-5885",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/20/2010",
    "LastUpdateDate": "07/20/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "COLEMAN-HARRIS",
    "AuthorizedOfficialFirstName": "MONICA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "313-924-5885",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251V00000X",
        "TaxonomyName": "Voluntary or Charitable Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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