Organization Name: | PRAYER WARRIORS ENHANCEMENT TEAM |
NPI Number: | 1053591362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROCHELLE LEWIS (PROGRAM DIRECTOR) |
Mailing Address: | 24490 Sunnymead Blvd Ste 107 Moreno Valley |
State: | CA US |
Postal Code: | 925537762 |
Phone Number: | 9512427001 |
Fax Number: | 9512427001 |
NPI Enumeration Date: | 11/05/2007 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 330087AN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |