Organization
FAITHFUL HEALTHCARE & SUPPLIES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CALLICUTT (CEO)
(870) 636-9593
Entity
Organization
Contact information
Practice address
110 BLOCK ST, MARION, AR 72364-1956
(870) 636-9593
Mailing address
110 BLOCK ST, MARION, AR 72364-1956
(870) 636-9593
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225320732
—
AR
Enumeration date
06/04/2019
Last updated
06/04/2019
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