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NPI Code Detail

MEDICARE: KEEPING FAITH GROUP HOME LLC

MEDICARE: KEEPING FAITH GROUP HOME LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1740143197
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEEPING FAITH GROUP HOME LLC
Provider Business Mailing Address
First Line : 1864 WOODCHASE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-5160
Country : US
Telephone Number : 682-386-0970
Fax Number :
Provider Business Practice Location Address
First Line : 1864 WOODCHASE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76120-5160
Country : US
Telephone Number : 682-386-0970
Fax Number :
Authorized Official
Title or Position : ALTERNATE ADMINISTRATOR
Name : MRS. ELIZABETH JOSEPH OLUKUNLE
Credential :
Telephone Number : 682-386-0970
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “KEEPING FAITH GROUP HOME LLC ” Practice Location

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