Organization
HOUSE OF FAITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAITH A HADLEY (DIRECTOR)
(601) 720-6692
Entity
Organization
Contact information
Practice address
928 HUNT ST, JACKSON, MS 39203-2908
(601) 720-6692
Mailing address
120 FALCON RIDGE DR, RAYMOND, MS 39154-9613
(601) 720-6692
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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