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Organization

CHRISTIAN FAITH HOME CARE

Active
Other names
Christian Faith Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
SHAZADA KEITH (DIRECTOR/OWNER)
(910) 777-9402
Entity
Organization

Contact information

Practice address
4542 RAEFORD RD STE A1, FAYETTEVILLE, NC 28304-3203
(910) 777-9402
(910) 809-2327
Mailing address
PO BOX 53281, FAYETTEVILLE, NC 28305-3281
(910) 777-9402
(910) 809-2327

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HC6272
DIVISION OF HEALTH SERVICE REGULATION
NC
Enumeration date
10/20/2021
Last updated
03/12/2024
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