# LOVE & FAITH HEALTH FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Love & Faith Health & Fitness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790053064
- **Authorized official:** MR. DERRICK JACK CUMBEE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (843) 264-2523

## Contact information

- **Practice address:** 312 E MAIN ST, ANDREWS, SC 29510-2642
- **Practice address phone:** (435) 213-5549
- **Practice address fax:** (843) 264-2523
- **Mailing address:** 154 FREDDIE PL, ANDREWS, SC 29510-6524
- **Mailing address phone:** (435) 213-5549
- **Mailing address fax:** (843) 264-2523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | SC | Yes |
| 261QH0100X | Health Service Clinic/Center | — | SC | — |
| 261QP0905X | State or Local Public Health Clinic/Center | — | SC | — |

## Other

- **Enumeration date:** 12/01/2011
- **Last updated:** 05/09/2012