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General NPI Number Information
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NPI Number | 1578689030
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Entity Type | Organization
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Legal Business Name | FAITH WORKS HOME HEALTH CARE INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 223 WASHINGTON ST
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City | WILLIAMSTON
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State | NC
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Zip | 27892-2437
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Country | US
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Telephone | 252-792-2104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1133
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City | WILLIAMSTON
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State | NC
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Zip | 27892-1133
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Country | US
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Telephone | 252-792-2104
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KENNIS E WILKINS
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Credential |
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Telephone | 252-792-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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