| Kingdom Life Church Inc. | |
|
380 Walnut St Pottstown PA 19464-5637 | |
| (610) 310-9226 | |
| Not Available |
| Full Name | Kingdom Life Church Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 380 Walnut St, Pottstown, Pennsylvania |
| Authorized Official Name and Position | Justin Valentine (PRESIDENT) |
| Authorized Official Contact | 6103109226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Life Church Inc. 380 Walnut St Pottstown PA 19464-5637 Ph: (610) 310-9226 | Kingdom Life Church Inc. 380 Walnut St Pottstown PA 19464-5637 Ph: (610) 310-9226 |
| NPI Number | 1588381602 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588381602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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