Provider Demographics
NPI:1114314630
Name:GOD SENT TRANSITIONAL HOUSING
Entity Type:Organization
Organization Name:GOD SENT TRANSITIONAL HOUSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGOLO
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-799-0647
Mailing Address - Street 1:1164 INTERLAKEN PASS
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-8019
Mailing Address - Country:US
Mailing Address - Phone:678-799-0647
Mailing Address - Fax:
Practice Address - Street 1:1164 INTERLAKEN PASS
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-8019
Practice Address - Country:US
Practice Address - Phone:678-799-0647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14087149251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable