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Organization
MY FAITH INC
Active
Organization
MY FAITH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JOHNSON-MCKINNEY LCSW (CEO)
(901) 831-1231
Entity
Organization
Contact information
Practice address
2506 MOUNT MORIAH RD, SUITE B415, MEMPHIS, TN 38115-1511
(901) 238-4071
(901) 791-2572
Mailing address
3393 CLARKE RD, MEMPHIS, TN 38115-3522
(901) 238-4071
(901) 791-2572
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L000000004203
TN
343900000X
Non-emergency Medical Transport (VAN)
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445202
—
TN
05
—
T000448
—
TN
Enumeration date
10/08/2009
Last updated
04/19/2016
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