Organization
FAITH RESIDENTIAL HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELLEN ALEM DESSALEGN (OWNER)
(704) 617-9859
Entity
Organization
Contact information
Practice address
5823 HEWITT DR, CHARLOTTE, NC 28269-0219
(704) 617-9859
Mailing address
5414 JASLIE LN, CHARLOTTE, NC 28227-2650
(704) 617-9859
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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