Provider Demographics
NPI:1265815948
Name:RIGHT DIRECTION CHRISTIAN CENTER, INC.
Entity Type:Organization
Organization Name:RIGHT DIRECTION CHRISTIAN CENTER, INC.
Other - Org Name:RIGHT DIRECTION HEALTHCARE SERVICE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GENERAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSW
Authorized Official - Phone:850-212-2061
Mailing Address - Street 1:820 HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5020
Mailing Address - Country:US
Mailing Address - Phone:850-212-2061
Mailing Address - Fax:850-270-2219
Practice Address - Street 1:820 HILLCREST ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5020
Practice Address - Country:US
Practice Address - Phone:850-212-2061
Practice Address - Fax:850-270-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL009470500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health