MEDICARE: CLARAFAITH HOME HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1255650230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARAFAITH HOME HEALTH

Provider Business Mailing Address
First Line	:	5710 OGEECHEE RD
Second Line	:	STE 200
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9515
Country	:	US
Telephone Number	:	912-352-8031
Fax Number	:	912-352-0339

Provider Business Practice Location Address
First Line	:	5710 OGEECHEE RD
Second Line	:	STE 200
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9515
Country	:	US
Telephone Number	:	912-352-8031
Fax Number	:	912-352-0339

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MAURICE S BYRD
Credential	:
Telephone Number	:	912-352-8031

Provider Enumeration Date	:	05/31/2010
Last Update Date	:	05/31/2010

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Directions to “CLARAFAITH HOME HEALTH ” Practice Location

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