Healthcare Provider Details

I. General information

NPI: 1801947882
Provider Name (Legal Business Name): FAITH HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SUNSET AVE
ROCKYMOUNT NC
27804
US

IV. Provider business mailing address

P O BOX 4917
ROCKYMOUNT NC
27803-0917
US

V. Phone/Fax

Practice location:
  • Phone: 252-446-3821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. IOLA SUMLIN
Title or Position: DIRECTOR
Credential:
Phone: 252-446-3821