Provider Demographics
NPI:1730696816
Name:THE KINGDOM LIFE MINISTRIES INC.
Entity type:Organization
Organization Name:THE KINGDOM LIFE MINISTRIES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEILANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SONGER
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:619-922-0808
Mailing Address - Street 1:2667 CAMINO DEL RIO S STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3733
Mailing Address - Country:US
Mailing Address - Phone:760-533-7953
Mailing Address - Fax:619-569-2676
Practice Address - Street 1:2667 CAMINO DEL RIO S STE 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3733
Practice Address - Country:US
Practice Address - Phone:760-533-7953
Practice Address - Fax:619-569-2676
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BREASTFEEDING FIXERS LEILANI'S WELLNESS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty