Organization Name: | RANKIN BAPTIST ASSOCIATION |
NPI Number: | 1114962560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PERRY SANDERFORD (DIRECTOR) |
Mailing Address: | 5611 Highway 80 E Pearl |
State: | MS US |
Postal Code: | 39208 |
Phone Number: | 6019396634 |
Fax Number: | 6014209252 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |