Organization
FAITHFUL SHEPHARD'S HOME CARE , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE B LEE (FOUNDER)
(704) 884-5694
Entity
Organization
Contact information
Practice address
1390 WALKUP AVE, SUITE G, MONROE, NC 28110
(704) 296-2545
Mailing address
621 E SECOND AVE, SUITE 3, GASTONIA, NC 28054
(704) 884-5694
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
12/03/2010
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