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NPI Code Detail

MEDICARE: FAITHHOUSE REHABILITATION SERVICES INC

MEDICARE: FAITHHOUSE REHABILITATION SERVICES INC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1649887027
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITHHOUSE REHABILITATION SERVICES INC
Provider Business Mailing Address
First Line : 6633 W AIRPORT BLVD APT 806
Second Line :
City : HOUSTON
State : TX
Zip : 77035-5279
Country : US
Telephone Number : 281-691-8824
Fax Number :
Provider Business Practice Location Address
First Line : 6633 W AIRPORT BLVD APT 806
Second Line :
City : HOUSTON
State : TX
Zip : 77035-5279
Country : US
Telephone Number : 281-691-8824
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CHARLES AMAKO
Credential :
Telephone Number : 281-691-8824
Provider Enumeration Date : 09/29/2020
Last Update Date : 09/29/2020

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Directions to “FAITHHOUSE REHABILITATION SERVICES INC ” Practice Location

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