Organization
FAITH AND FAMILY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIANA RICHARDS (OWNER)
(470) 622-3962
Entity
Organization
Contact information
Practice address
3339 GARDENSIDE WALK, LOGANVILLE, GA 30052-7905
(786) 376-1360
Mailing address
4160 LOGAN DR UNIT 52, LOGANVILLE, GA 30052-9500
(470) 622-3962
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
05/13/2020
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