Organization
A LEAP OF FAITH OF NC, LLC
Active
Organization
A LEAP OF FAITH OF NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN CURTIS JENKINS (PRESIDENT, OWNER)
(336) 548-7460
Entity
Organization
Contact information
Practice address
614 CHIEF MARTIN ST STE B, MADISON, NC 27025-1684
(336) 548-7460
(336) 548-7461
Mailing address
614 CHIEF MARTIN ST STE B, MADISON, NC 27025-1684
(336) 548-7460
(336) 548-7461
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC4176
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
09/20/2010
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