Promised Land Church

LBN: Promised Land Church
Promised Land Church is an health care organization with primary practice located at 4545 Hereford St , Detroit MI 48224-1404. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Promised Land Church can be contacted via phone (313) 685-6643, or through Tillman, Lisa via phone (313) 685-6643.

Contact Information

Primary practice address
4545 Hereford St Detroit MI 48224-1404
Phone: (313) 685-6643
Fax: (313) 417-5652
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Lisa
Phone: (313) 685-6643

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1427295617
LBN Legal business name Promised Land Church
DBA Doing business as
Authorized official Tillman, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2009
Last updated Jan 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers