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Organization

FAITHWORKS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVELYN MAXINE FODAY MA (CEO/ADMINISTRATOR)
(513) 371-1195
Entity
Organization

Contact information

Practice address
11424 OXFORDSHIRE LN, LEVEL B, CINCINNATI, OH 45240-2813
(513) 371-1195
(513) 648-9926
Mailing address
11424 OXFORDSHIRE LN, LEVEL B, CINCINNATI, OH 45240-2813
(513) 371-1195
(513) 648-9926

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3110001
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2802711
OH
01
3110001
ODMRDD
OH
Enumeration date
08/24/2011
Last updated
08/24/2011
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