Organization
FAITHFUL HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI TOWNSEND (OWNSER)
(501) 708-0902
Entity
Organization
Contact information
Practice address
622 DENTON, BENTON, AR 72015-3424
(501) 708-0902
(501) 794-6309
Mailing address
1201 MILITARY RD STE 2-127, BENTON, AR 72015-2908
(501) 708-0902
(501) 794-6309
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230133757
—
AR
05
—
230135732
—
AR
05
—
230136797
—
AR
Enumeration date
03/18/2019
Last updated
06/11/2019
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