Organization Name: | LEAP OF FAITH LLC |
NPI Number: | 1013392034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATASHA N WINTERS (OWNER) |
Mailing Address: | 115 North Wells Street Suite A Kosciusko |
State: | MS US |
Postal Code: | 39090 |
Phone Number: | 6627927746 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |