Organization
FAITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATAHSA MAULL (COO)
(757) 319-3350
Entity
Organization
Contact information
Practice address
190 JANAF SHOPPING CTR, BOX 12911, NORFOLK, VA 23502-2507
(757) 319-3350
Mailing address
190 JANAF SHOPPING CTR, BOX 12911, NORFOLK, VA 23502-2507
(757) 319-3350
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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