Provider Demographics
NPI:1245674639
Name:CHRISTIAN EMPOWERMENT WORSHIP CENTER AND MINISTRIES
Entity type:Organization
Organization Name:CHRISTIAN EMPOWERMENT WORSHIP CENTER AND MINISTRIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:317-625-0492
Mailing Address - Street 1:2322 SILVER MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-2400
Mailing Address - Country:US
Mailing Address - Phone:317-945-4981
Mailing Address - Fax:
Practice Address - Street 1:2322 SILVER MAPLE CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-2400
Practice Address - Country:US
Practice Address - Phone:317-945-4981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHRISTIAN EMPOWERMENT WORSHIP CENTER AND MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care