Provider Demographics
NPI:1386918191
Name:ROSE HILL MISSIONARY BAPTIST CHURCH
Entity type:Organization
Organization Name:ROSE HILL MISSIONARY BAPTIST CHURCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE/BOARD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:JURELL
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-783-0833
Mailing Address - Street 1:6138 HIGHWAY 48 E
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:MS
Mailing Address - Zip Code:39652-4101
Mailing Address - Country:US
Mailing Address - Phone:601-783-6411
Mailing Address - Fax:601-783-6470
Practice Address - Street 1:6138 HIGHWAY 48 E
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:MS
Practice Address - Zip Code:39652-4101
Practice Address - Country:US
Practice Address - Phone:601-783-6411
Practice Address - Fax:601-783-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care