| Kingdom Builders Minister, Inc | |
|
200 E Washington St Minneola FL 34715-9250 | |
| (352) 432-3704 | |
| (352) 988-5866 |
| Full Name | Kingdom Builders Minister, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 E Washington St, Minneola, Florida |
| Authorized Official Name and Position | Grisselle Ivette Davis (PRESIDENT) |
| Authorized Official Contact | 3526788554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Builders Minister, Inc 200 E Washington St Minneola FL 34715-9250 Ph: (352) 432-3704 | Kingdom Builders Minister, Inc 200 E Washington St Minneola FL 34715-9250 Ph: (352) 432-3704 |
| NPI Number | 1144515420 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144515420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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