Individual
FAITH R SEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MIDDLETOWN SQ, LOUISVILLE, KY 40243-1464
(502) 888-6398
Mailing address
236 MIDDLETOWN SQ, LOUISVILLE, KY 40243-1464
(502) 888-6398
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NA
—
Enumeration date
10/02/2018
Last updated
10/02/2018
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