# A FAITHFUL CARE CONSUMER DIRECTED SERVICES, LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1205365202
- **Authorized official:** MS. LAURA LISA WILLIAMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 656-1495

## Contact information

- **Practice address:** 7220 N LINDBERGH BLVD STE 20, HAZELWOOD, MO 63042-2019
- **Practice address phone:** (314) 656-1495
- **Practice address fax:** (314) 656-1547
- **Mailing address:** 7220 N LINDBERGH BLVD STE 20, HAZELWOOD, MO 63042-2019
- **Mailing address phone:** (314) 656-1495
- **Mailing address fax:** (314) 656-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2017
- **Last updated:** 06/05/2017