# FAITH COMMUNITY HOSPITAL HOME HEALTH

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

## Provider details

- **NPI number:** 1104818723
- **Authorized official:** DONALD HOPKINS (ADMINISTRATION/CEO)
- **Authorized official phone:** (940) 567-6633

## Contact information

- **Practice address:** 717 MAGNOLIA ST, JACKSBORO, TX 76458-1111
- **Practice address phone:** (940) 567-6633
- **Practice address fax:** (940) 567-5714
- **Mailing address:** 717 MAGNOLIA ST, JACKSBORO, TX 76458-1111
- **Mailing address phone:** (940) 567-6633
- **Mailing address fax:** (940) 567-5714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 002095 | TX | Yes |

## Other

- **Enumeration date:** 08/19/2005
- **Last updated:** 08/22/2020