Provider Demographics
NPI:1942905468
Name:ASSEMBLY OF CHRIST'S FOLLOWERS INC
Entity type:Organization
Organization Name:ASSEMBLY OF CHRIST'S FOLLOWERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEME
Authorized Official - Middle Name:J
Authorized Official - Last Name:NDZANA
Authorized Official - Suffix:
Authorized Official - Credentials:PASTOR
Authorized Official - Phone:240-440-1438
Mailing Address - Street 1:8118 EDGEWOOD CHURCH ROAD FREDERICK MD 21702
Mailing Address - Street 2:8118 EDGEWOOD CHURCH ROAD
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-2718
Mailing Address - Country:US
Mailing Address - Phone:240-440-1438
Mailing Address - Fax:
Practice Address - Street 1:8118 EDGEWOOD CHURCH ROAD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-2718
Practice Address - Country:US
Practice Address - Phone:240-440-1438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSEMBLY OF CHRIST'S FOLLOWERS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-03
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health