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General NPI Number Information
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NPI Number | 1447687660
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Entity Type | Organization
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Legal Business Name | FAITHFUL HANDS CORPORATION
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 10874 KOLB AVE
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City | ALLEN PARK
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State | MI
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Zip | 48101-1182
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Country | US
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Telephone | 313-740-6731
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Fax | 734-661-5008
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Provider Business Mailing Address
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Address Line | 45750 ARAGON LN
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City | CANTON
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State | MI
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Zip | 48187-6639
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Country | US
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Telephone | 313-740-6731
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Fax | 734-629-8652
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Authorized Official
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Title or Position | EXEC. DIRECTOR
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Name | EDDIE NORTHINGTON
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Credential |
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Telephone | 800-749-5149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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