Provider Demographics
NPI:1639324700
Name:ADAM'S APPLE OUTREACH MINISTRIES
Entity Type:Organization
Organization Name:ADAM'S APPLE OUTREACH MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNIECE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-491-6934
Mailing Address - Street 1:26222 PRINCETON ST
Mailing Address - Street 2:
Mailing Address - City:INKSTER
Mailing Address - State:MI
Mailing Address - Zip Code:48141-2493
Mailing Address - Country:US
Mailing Address - Phone:313-491-6934
Mailing Address - Fax:
Practice Address - Street 1:4074 TYLER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48238-5207
Practice Address - Country:US
Practice Address - Phone:313-491-6934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPIRITLOVE MINISTRIES INTERNATIONAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable