Organization
FAITH HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLOSSOM C VANG (ADMINSTRATOR)
(404) 917-4346
Entity
Organization
Contact information
Practice address
2100 18TH AVE STE 230, ROCK ISLAND, IL 61201-3668
(404) 917-4346
Mailing address
879 CARRIAGE RUN CT, LAWRENCEVILLE, GA 30046-2414
(404) 917-4346
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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