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Organization
FAITHFUL FOUNDATION LLC
Active
Organization
FAITHFUL FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE LOWE MS (OWNER/MANAGER)
(816) 222-4783
Entity
Organization
Contact information
Practice address
2116 NE 111TH TER, KANSAS CITY, MO 64155-8537
(816) 222-4783
Mailing address
2116 NE 111TH TER, KANSAS CITY, MO 64155-8537
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LC001475210
MO
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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