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Organization
FAITHWAYS DIRECTION SUPPORT SERVICES, LLC
Active
Organization
FAITHWAYS DIRECTION SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA LAVONDA WHITE (OWNER)
(804) 840-8446
Entity
Organization
Contact information
Practice address
2443 TIGNOR RD, RICHMOND, VA 23224-6185
(804) 840-8446
Mailing address
2443 TIGNOR RD, RICHMOND, VA 23224-6185
(804) 840-8446
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173886497
—
VA
Enumeration date
05/05/2014
Last updated
05/05/2014
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