Organization
FAITHFUL SERVANT IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SANDRA JERMILLS MILLER (AGENCY DIRECTOR)
(704) 405-1467
Entity
Organization
Contact information
Practice address
1801 N TRYON ST STE B203, CHARLOTTE, NC 28206-2741
(704) 405-1467
(704) 405-1468
Mailing address
1801 N TRYON ST STE B203, CHARLOTTE, NC 28206-2741
(704) 405-1467
(704) 405-1468
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418363
COMMUNITY ALTERNATIVE
NC
Enumeration date
03/28/2007
Last updated
08/22/2020
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