| Breakthrough Revival Pentecostal Holiness Church | |
|
210 Church St Greenville NC 27834-1212 | |
| (252) 985-1875 | |
| (252) 399-0526 |
| Full Name | Breakthrough Revival Pentecostal Holiness Church |
|---|---|
| Speciality | Case Management |
| Location | 210 Church St, Greenville, North Carolina |
| Authorized Official Name and Position | Lydia K Jones (ADMINISTRATOR) |
| Authorized Official Contact | 2529851875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Revival Pentecostal Holiness Church Po Box 31026 Greenville NC 27833-1026 Ph: (252) 985-1875 | Breakthrough Revival Pentecostal Holiness Church 210 Church St Greenville NC 27834-1212 Ph: (252) 985-1875 |
| NPI Number | 1952682247 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952682247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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