Provider Demographics
NPI:1053611186
Name:FROM MY HEART TO YOURS MINISTRIES OF MONROE
Entity type:Organization
Organization Name:FROM MY HEART TO YOURS MINISTRIES OF MONROE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:PASTOR
Authorized Official - Phone:318-512-7777
Mailing Address - Street 1:61 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2751
Mailing Address - Country:US
Mailing Address - Phone:318-512-7777
Mailing Address - Fax:
Practice Address - Street 1:3101 JACKSON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-5317
Practice Address - Country:US
Practice Address - Phone:318-512-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care