Healthcare Provider Details

I. General information

NPI: 1750209508
Provider Name (Legal Business Name): FAITH WORK EMPOWERMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32271 EAST ST
BOYKINS VA
23827-2656
US

IV. Provider business mailing address

PO BOX 152
BOYKINS VA
23827-0152
US

V. Phone/Fax

Practice location:
  • Phone: 757-556-9391
  • Fax:
Mailing address:
  • Phone: 757-556-9391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DEVIN WYCHE
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 757-556-9391