Organization
FAITHFUL SERVANT IN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA JERMILLS MILLER (AGENCY DIRECTOR)
(704) 712-1792
Entity
Organization
Contact information
Practice address
5505 KEYWAY BLVD APT J, CHARLOTTE, NC 28215-5747
(704) 535-2297
(704) 535-2298
Mailing address
5505 KEYWAY BLVD, CHARLOTTE, NC 28215-4466
(704) 535-2297
(704) 535-2298
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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