Provider Demographics
NPI:1699565184
Name:MISSION MINISTRIES ALLIANCE
Entity type:Organization
Organization Name:MISSION MINISTRIES ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHELTER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PROCTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-659-6490
Mailing Address - Street 1:PO BOX 297
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-0297
Mailing Address - Country:US
Mailing Address - Phone:828-659-6490
Mailing Address - Fax:
Practice Address - Street 1:124 FLEMING AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-3889
Practice Address - Country:US
Practice Address - Phone:828-569-6248
Practice Address - Fax:828-569-6248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare