Healthcare Provider Details

I. General information

NPI: 1356711576
Provider Name (Legal Business Name): FAITHFUL NURSING LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 09/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MILLERSVILLE RD
LANCASTER PA
17603-6121
US

IV. Provider business mailing address

900 MILLERSVILLE RD
LANCASTER PA
17603-6121
US

V. Phone/Fax

Practice location:
  • Phone: 717-584-1100
  • Fax: 717-584-1101
Mailing address:
  • Phone: 717-584-1100
  • Fax: 717-584-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number05680501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number05680501
License Number StatePA

VIII. Authorized Official

Name: MRS. GLENDA WITMER
Title or Position: CEO/ADMINISTRATOR
Credential: RN
Phone: 717-584-1100