Organization
FAITH HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERRA FLUKER (OWNER)
(945) 336-5245
Entity
Organization
Contact information
Practice address
522 N CENTRAL AVE, #831, PHOENIX, AZ 85004
(214) 301-4061
Mailing address
8651 HIGHWAY N STE 100, LAKE ST LOUIS, MO 63367-4057
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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