| Organization Name: | BEYONDFAITH HOMECARE & REHAB OF JACKSBORO, LLC |
| NPI Number: | 1740539907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BECKY RICHARDSON (OWNER) |
| Mailing Address: | 120 S Main St Jacksboro |
| State: | TX US |
| Postal Code: | 764582318 |
| Phone Number: | 9405210300 |
| Fax Number: | 9405210323 |
| NPI Enumeration Date: | 09/04/2012 |
| NPI Last Update Date: | 07/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 015206 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |