Provider Demographics
NPI:1548405004
Name:GROWING GOD'S KINGDOM, INC.
Entity Type:Organization
Organization Name:GROWING GOD'S KINGDOM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-839-8542
Mailing Address - Street 1:599 N. CENTENNIAL
Mailing Address - Street 2:
Mailing Address - City:WEST FORK
Mailing Address - State:AR
Mailing Address - Zip Code:72774
Mailing Address - Country:US
Mailing Address - Phone:479-839-8542
Mailing Address - Fax:479-839-2237
Practice Address - Street 1:599 N. CENTENNIAL
Practice Address - Street 2:
Practice Address - City:WEST FORK
Practice Address - State:AR
Practice Address - Zip Code:72774
Practice Address - Country:US
Practice Address - Phone:479-839-8542
Practice Address - Fax:479-839-2237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency