Organization
FAITH HARBOR
Active
Organization
FAITH HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGEL LYNNETTE LEE SCL, IPD (OWNER/EXECUTIVE DIRECTOR)
(270) 781-4050
Entity
Organization
Contact information
Practice address
1268 CAMPBELL LN STE 101, BOWLING GREEN, KY 42104-1034
(270) 781-4050
(270) 781-4099
Mailing address
PO BOX 151, ROCKFIELD, KY 42274-0151
(270) 781-4050
(270) 781-4099
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up