Provider Demographics
NPI:1346531472
Name:WORLD CHRISTIAN FAITH
Entity Type:Organization
Organization Name:WORLD CHRISTIAN FAITH
Other - Org Name:WCF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:COURTNEY
Authorized Official - Last Name:GALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DBA; JD; MBA
Authorized Official - Phone:504-382-3470
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70096-0948
Mailing Address - Country:US
Mailing Address - Phone:504-382-3470
Mailing Address - Fax:504-589-2269
Practice Address - Street 1:1821 LAPEYROUSE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-1738
Practice Address - Country:US
Practice Address - Phone:504-382-3470
Practice Address - Fax:504-589-2269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-24
Last Update Date:2011-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No305S00000XManaged Care OrganizationsPoint of Service
No347C00000XTransportation ServicesPrivate Vehicle