Interdenominational Church of Christian Love, INC

NPI #1770834467 in Glendale, Wisconsin

Provider Information

NPI Number
1770834467
Entity Type
Organization
Organization Name
Interdenominational Church of Christian Love, INC
Primary Specialty
Home Health
Enumeration Date
Sep 21, 2012
Last Updated
Oct 31, 2012

Practice Location

Address
6310 N PORT WASHINGTON RD
ZIP Code
53217-4300
Phone
(414) 961-1614

Authorized Official

Name
DR. ROGER PUMPHREY
Title
FOUNDER
Phone
(414) 961-1614

Specialties & Taxonomy Codes

Specialty
Home Health

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