Wards Holy Management Outreach Church

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

6501333434 Issued in MI

Legal business name

WARDS HOLY MANAGEMENT OUTREACH CHURCH

Practice address

12410 Wyoming St FL 2
Detroit, MI 48204

Phone

(313) 834-4339

Fax

(313) 933-4339

NPI assigned

Nov 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Idella Darlene Ward, NA

Title

Ceo

Phone

(313) 655-2975

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1407001332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25687 FORESTVIEW DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332944",
            "telephone_number": "313-655-2975",
            "fax_number": "313-933-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 WYOMING ST FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48204",
            "telephone_number": "313-834-4339",
            "fax_number": "313-933-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDS HOLY MANAGEMENT OUTREACH CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "IDELLA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-655-2975",
        "authorized_official_credential": "NA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "6501333434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Trenae Ward
• Terry Ward
• Thomasine Ward
• Amanda Rose Warden, LMSW
• Natalie Wardia, DO
• Anita Carol Ware
• Ernestine Ware
• Fameka Latrice Ware
• Gregory J. Ware
• Gregory Lee Ware I

• Point of Service in Detroit, MI
• Providers in Detroit, MI by specialty
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.