Provider Demographics
NPI:1487965174
Name:HER MINISTRY THROUGH HIS GREATNESS MINISTRY OUTREACH
Entity type:Organization
Organization Name:HER MINISTRY THROUGH HIS GREATNESS MINISTRY OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-399-9326
Mailing Address - Street 1:8593 LITTLEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2530
Mailing Address - Country:US
Mailing Address - Phone:313-399-9326
Mailing Address - Fax:313-399-9326
Practice Address - Street 1:8593 LITTLEFIELD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-2530
Practice Address - Country:US
Practice Address - Phone:313-399-9326
Practice Address - Fax:313-399-9326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable