Organization
FAITH HOME CARE 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN VINSON (AGENCY DIRECTOR)
(252) 862-4404
Entity
Organization
Contact information
Practice address
105 MAIN ST W, AHOSKIE, NC 27910-3301
(252) 862-4404
(252) 862-4446
Mailing address
105 MAIN ST W, AHOSKIE, NC 27910-3301
(252) 862-4404
(252) 862-4446
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8700489
HIV CAP
NC
Enumeration date
02/07/2008
Last updated
09/08/2008
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