Organization
FAITHFUL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOURICE JACK (OWNER)
(309) 716-4615
Entity
Organization
Contact information
Practice address
2100 18TH AVE STE 110, ROCK ISLAND, IL 61201-3668
(309) 798-1828
Mailing address
2100 18TH AVE STE 110, ROCK ISLAND, IL 61201-3668
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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