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Organization

FAITH HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH HERMA VICKERIE R.N. (CEO)
(678) 624-1646
Entity
Organization

Contact information

Practice address
240 PROSPECT PL, ALPHARETTA, GA 30005-5454
(678) 624-1646
(770) 521-9026
Mailing address
240 PROSPECT PL, ALPHARETTA, GA 30005-5454
(678) 624-1646
(770) 521-9026

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060-R-0093
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000696935A
GA
05
000696935C
GA
05
000696935H
GA
Enumeration date
12/28/2010
Last updated
12/28/2010
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