| The Deliverance Overcoming Church Of God | |
|
7201 Quincy Ave Cleveland OH 44104-1942 | |
| (216) 391-7289 | |
| Not Available |
| Full Name | The Deliverance Overcoming Church Of God |
|---|---|
| Speciality | Religious Nonmedical Practitioner |
| Location | 7201 Quincy Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Andrae D Maze (CEO / SENIOR PASTOR) |
| Authorized Official Contact | 2162875031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Deliverance Overcoming Church Of God Po Box 1945 Medina OH 44258-1945 Ph: (216) 391-7289 | The Deliverance Overcoming Church Of God 7201 Quincy Ave Cleveland OH 44104-1942 Ph: (216) 391-7289 |
| NPI Number | 1619634078 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619634078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 374K00000X | Religious Nonmedical Practitioner | (* (Not Available)) | Primary |
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