Provider Demographics
NPI:1023460193
Name:FOLLOWERS OF CHRIST CHURCH
Entity type:Organization
Organization Name:FOLLOWERS OF CHRIST CHURCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUEKYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-987-0877
Mailing Address - Street 1:PO BOX 172312
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-2312
Mailing Address - Country:US
Mailing Address - Phone:817-969-5118
Mailing Address - Fax:817-516-5486
Practice Address - Street 1:3716 DUTCH IRIS LN
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76140-7006
Practice Address - Country:US
Practice Address - Phone:817-969-5118
Practice Address - Fax:817-516-5486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health