Organization Name: | CITY OF HOLBROOK OUTREACH MINISTRY CHURCH |
NPI Number: | 1184958860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS VITO STRAMAGLIA (DIRECTOR) |
Mailing Address: | 3000 Auburn Rd Shelby Twp |
State: | MI US |
Postal Code: | 483173708 |
Phone Number: | 5867395865 |
Fax Number: | 5867395640 |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 09/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |