MEDICARE: FAITHFULL CARE 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1841750858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAITHFULL CARE INC

Provider Business Mailing Address
First Line	:	4171 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4171 15 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-5400
Country	:	US
Telephone Number	:	248-242-3283
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARLON MEYOU
Credential	:
Telephone Number	:	248-242-3283

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	03/25/2019

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Directions to “FAITHFULL CARE INC ” Practice Location

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