| NPI | 1124352281 |
|---|---|
| Doing Business As | CHURCH OF THE LIVING GOD PGT |
| Entity Type | Organization |
| Authorized Contact | CHARLES CLEVELAND JUNIOR Pastor 214-372-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |