Organization
FAITH HARBOR
Active
Organization
FAITH HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA FAYE MURPHY (OWNER)
(270) 366-6843
Entity
Organization
Contact information
Practice address
1512 RICHPOND ROCKFIELD RD, BOWLING GREEN, KY 42101-7408
(270) 366-6843
(270) 842-6213
Mailing address
1043 PEDIGO WAY STE 7, BOWLING GREEN, KY 42103-7197
(270) 366-6843
(270) 842-6213
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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