# FAITHFUL NUBIAN SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013364512
- **Authorized official:** SURENA GLOVER (OWNER)
- **Authorized official phone:** (757) 419-3941

## Contact information

- **Practice address:** 410 HUSTINGS LN, UNIT E, NEWPORT NEWS, VA 23608-2807
- **Practice address phone:** (757) 491-3941
- **Practice address fax:** (757) 325-8283
- **Mailing address:** 410 HUSTINGS LN, UNIT E, NEWPORT NEWS, VA 23608-2807
- **Mailing address phone:** (757) 491-3941
- **Mailing address fax:** (757) 325-8283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 05/16/2016