Organization Name: | FAITH HOME HEALTH CARE, INC. |
NPI Number: | 1497168025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEZIAH KOHATH (EXECUTIVE DIRECTOR) |
Mailing Address: | 239 Willow Street Macungie |
State: | PA US |
Postal Code: | 18062 |
Phone Number: | 6107304370 |
Fax Number: | 6107674832 |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |