Provider Demographics
NPI:1619746039
Name:JESUS WILL MINISTRY
Entity Type:Organization
Organization Name:JESUS WILL MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELROY
Authorized Official - Middle Name:B
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-830-6567
Mailing Address - Street 1:1207 SANDPIPER CT N
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2595
Mailing Address - Country:US
Mailing Address - Phone:183-272-0218
Mailing Address - Fax:
Practice Address - Street 1:5121 RUE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-4213
Practice Address - Country:US
Practice Address - Phone:281-830-6567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals