=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356106496
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAITH & LOVE MULTISERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2024
-----------------------------------------------------
Last Update Date | 02/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1101 STOURHEAD CT
-----------------------------------------------------
City | ABINGDON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21009-1075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-469-4593
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1101 STOURHEAD CT
-----------------------------------------------------
City | ABINGDON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21009-1075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-469-4593
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CELINE FOTIE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-469-4593
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------