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Organization
FAITHFUL SERVANT IN HOME CARE
Active
Organization
FAITHFUL SERVANT IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SANDRA JERMILLS MILLER (AGENCY DIRECTOR)
(704) 405-1467
Entity
Organization
Contact information
Practice address
1801 N TRYON ST STE B203, CHARLOTTE, NC 28206-2741
(704) 405-1467
(704) 405-1468
Mailing address
1801 N TRYON ST STE B203, CHARLOTTE, NC 28206-2741
(704) 405-1467
(704) 405-1468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418363
COMMUNITY ALTERNATIVE
NC
Enumeration date
03/28/2007
Last updated
08/22/2020
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