Provider Demographics
NPI:1285960260
Name:STRATEGIES OF LIFR OUTREACH MINISTRY CHURCH
Entity type:Organization
Organization Name:STRATEGIES OF LIFR OUTREACH MINISTRY CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-421-7074
Mailing Address - Street 1:20490 HARPER AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48225-1645
Mailing Address - Country:US
Mailing Address - Phone:313-421-7074
Mailing Address - Fax:313-397-1765
Practice Address - Street 1:20490 HARPER AVE STE 113
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48225-1645
Practice Address - Country:US
Practice Address - Phone:313-421-7074
Practice Address - Fax:313-397-1765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable