Healthcare Provider Details

I. General information

NPI: 1194546226
Provider Name (Legal Business Name): TWIST OF FAITH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6719 COUNTY ROAD 33
SKIPPERVILLE AL
36374
US

IV. Provider business mailing address

6719 COUNTY ROAD 33
SKIPPERVILLE AL
36374
US

V. Phone/Fax

Practice location:
  • Phone: 334-733-5206
  • Fax: 334-999-9045
Mailing address:
  • Phone: 334-733-5206
  • Fax: 334-999-9045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY ANN BURKS
Title or Position: OWNER
Credential:
Phone: 334-733-5206