Provider Demographics
NPI:1881401420
Name:MINISTRY OF LIFE
Entity type:Organization
Organization Name:MINISTRY OF LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSS
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDUL
Authorized Official - Last Name:RAHAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-426-9271
Mailing Address - Street 1:1475 N GARNETT STFEET
Mailing Address - Street 2:1473 N. GARNETT STRRET
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536
Mailing Address - Country:US
Mailing Address - Phone:919-426-9271
Mailing Address - Fax:
Practice Address - Street 1:35 PROSPECTUS LN
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-9122
Practice Address - Country:US
Practice Address - Phone:919-426-9271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty