Provider Demographics
NPI:1033948716
Name:LADIES OF GOD'S WORD MINISTRY,INC
Entity type:Organization
Organization Name:LADIES OF GOD'S WORD MINISTRY,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:EFFIE
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:832-889-8929
Mailing Address - Street 1:2470 GRAY FALLS DR STE 250
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6514
Mailing Address - Country:US
Mailing Address - Phone:832-889-8929
Mailing Address - Fax:
Practice Address - Street 1:2470 GRAY FALLS DR STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6514
Practice Address - Country:US
Practice Address - Phone:832-889-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1881845998Medicaid
TX270132725Medicaid