Organization
FAMILY AND FAITH HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY CROFT (SUPPORT/IT/ACCOUNTING/HR)
(423) 453-2200
Entity
Organization
Contact information
Practice address
130 E WASHINGTON AVE STE 4, ATHENS, TN 37303-3668
(423) 453-2200
(423) 453-2223
Mailing address
130 E WASHINGTON AVE STE 4, ATHENS, TN 37303-3668
(423) 453-2200
(423) 453-2223
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386106664
TYPE 1 NPI
TN
01
—
L000000024212
PERSONAL SUPPORT AGENCY
TN
05
—
Q048565
—
TN
Enumeration date
05/16/2019
Last updated
12/27/2021
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