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NPI Code Detail

MEDICARE: TENT MINISTRIES, INC.

MEDICARE: TENT MINISTRIES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1730754078
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENT MINISTRIES, INC.
Provider Business Mailing Address
First Line : 1472 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-3604
Country : US
Telephone Number : 646-598-8368
Fax Number :
Provider Business Practice Location Address
First Line : 1472 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-3604
Country : US
Telephone Number : 646-598-8368
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JASON AYALA
Credential :
Telephone Number : 347-712-7979
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “TENT MINISTRIES, INC. ” Practice Location

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