Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI Number | 1669821419 |
| LBN Legal business name | HEALING PLACE PASTORAL CARE CENTER |
| Authorized official | SHERRI JACKSON - (OWNER/MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/11/2016 |
| Last updated | 06/11/2016 - About 10 years ago |
| Identifiers | n/a |
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