Organization
FAITH HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAREMA LATRESE WILLIAMS MHA/ED (PRESIDENT)
(910) 297-0787
Entity
Organization
Contact information
Practice address
210 WALLINGTON RD, WILMINGTON, NC 28409-8542
(910) 399-2602
Mailing address
210 WALLINGTON RD, WILMINGTON, NC 28409-8542
(910) 399-2602
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/14/2009
Last updated
07/18/2009
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