National Provider Identifier Database

GRACIOUS OUTREACH MINISTRIES
Voluntary or Charitable


Contact Information

GRACIOUS OUTREACH MINISTRIES
17336 W 12 MILE RD
SOUTHFIELD, MI48076-2113
Phone: 313-739-3352
Fax: 313-887-4081
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for GRACIOUS OUTREACH MINISTRIES

NPI Number 1922251545
Legal business name
LBN
GRACIOUS OUTREACH MINISTRIES
Authorized official TANISHA BURTON - (CHAIRMAN/ CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/28/2008
Last updated 11/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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