Provider Demographics
NPI:1225210644
Name:WORLD HEALING & MIRACLE OUTREACH MINISTRIES
Entity Type:Organization
Organization Name:WORLD HEALING & MIRACLE OUTREACH MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBOWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-647-5209
Mailing Address - Street 1:7800 BISSONNET ST
Mailing Address - Street 2:SUITE #125 - 130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-5400
Mailing Address - Country:US
Mailing Address - Phone:713-484-6172
Mailing Address - Fax:
Practice Address - Street 1:7800 BISSONNET ST
Practice Address - Street 2:SUITE #125 - 130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5400
Practice Address - Country:US
Practice Address - Phone:713-484-6172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health