Provider Demographics
NPI:1184423576
Name:SUFFICIENT GRACE MINISTRIES FOR WOMEN, INC.
Entity type:Organization
Organization Name:SUFFICIENT GRACE MINISTRIES FOR WOMEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR, DOULA
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DOULA
Authorized Official - Phone:419-278-7640
Mailing Address - Street 1:407 S STEARNS AVE
Mailing Address - Street 2:
Mailing Address - City:DESHLER
Mailing Address - State:OH
Mailing Address - Zip Code:43516-1320
Mailing Address - Country:US
Mailing Address - Phone:419-278-7640
Mailing Address - Fax:
Practice Address - Street 1:407 S STEARNS AVE
Practice Address - Street 2:
Practice Address - City:DESHLER
Practice Address - State:OH
Practice Address - Zip Code:43516-1320
Practice Address - Country:US
Practice Address - Phone:419-278-7640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No251G00000XAgenciesHospice Care, Community Based