Provider Demographics
NPI:1316566490
Name:ANOINTED CROWN
Entity Type:Organization
Organization Name:ANOINTED CROWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MEESHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MUNNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MEDL
Authorized Official - Phone:863-840-3180
Mailing Address - Street 1:2696 CENTRAL TER
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-1614
Mailing Address - Country:US
Mailing Address - Phone:863-840-3180
Mailing Address - Fax:
Practice Address - Street 1:2696 CENTRAL TER
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-1614
Practice Address - Country:US
Practice Address - Phone:863-840-3180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies