Organization
ARM FAITHFUL HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB MWANJA (OWNER/ADMINISTRATOR)
(571) 466-8793
Entity
Organization
Contact information
Practice address
18909 RED OAK LN, TRIANGLE, VA 22172-2122
(571) 466-8793
(888) 752-5586
Mailing address
18909 RED OAK LN, TRIANGLE, VA 22172-2122
(571) 466-8793
(888) 752-5586
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CISECOM
—
VA
Enumeration date
11/05/2018
Last updated
11/05/2018
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