Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1528200086 |
| LBN Legal business name | JKLR MINISTRIES, LLC |
| Authorized official | GERALD RANDOLPH - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/30/2009 |
| Last updated | 03/30/2009 - About 17 years ago |
| Identifiers | n/a |
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