| NPI | 1609073485 |
|---|---|
| Doing Business As | LOVE OF JESUS HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDITH LYNN PAWLAK Executive Director 804-674-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-08-03 |