Theophilos III (ido) Intergenerational Diversified Outreach Ministries
NPI #1053655035 in Monroe, North Carolina
Provider Information
- NPI Number
- 1053655035
- Entity Type
- Organization
- Organization Name
- Theophilos III (ido) Intergenerational Diversified Outreach Ministries
- Primary Specialty
- Home Health
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Nov 15, 2012
Practice Location
- Address
- 206 N HAYNE ST STE A
- City
- Monroe
- State
- North Carolina
- ZIP Code
- 28112-4866
- Phone
- (704) 635-8860
Authorized Official
- Name
- MRS. DIANE COGSDELL
- Title
- PRESIDENT CEO COMMUNITY OUTREACH
- Phone
- (240) 678-0143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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