Organization
FAITH HEALTHCARE, INC.
Active
Parent organization
FAITH HEALTHCARE, INC.
Other names
Liberty Community Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAITH HEALTHCARE, INC.
Authorized official
LOGAN ROY ANTLE (CEO)
(606) 425-5768
Entity
Organization
Contact information
Practice address
256 N WALLACE WILKINSON BLVD, LIBERTY, KY 42539-3014
(606) 787-0014
Mailing address
521 CRANE RD, SOMERSET, KY 42501-9503
(066) 425-5768
(606) 425-5769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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