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NPI Code Detail

MEDICARE: FAITH AND MARIE LLC

MEDICARE: FAITH AND MARIE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant
2251E00000XHome Health Agency
3253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1417414491
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITH AND MARIE LLC
Provider Business Mailing Address
First Line : 1100 GULF FWY S STE 110
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5148
Country : US
Telephone Number : 281-316-6006
Fax Number : 281-346-9958
Provider Business Practice Location Address
First Line : 1100 GULF FWY S STE 110
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-5148
Country : US
Telephone Number : 281-316-6006
Fax Number : 281-346-9958
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : DR. MARIE YOUNGBLOOD
Credential : PHD
Telephone Number : 281-316-6006
Provider Enumeration Date : 02/26/2019
Last Update Date : 02/10/2025

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Directions to “FAITH AND MARIE LLC ” Practice Location

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