Organization
FAITHFUL KINGDOM
Active
Organization
FAITHFUL KINGDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA JACKSON (OWNER)
(214) 433-9436
Entity
Organization
Contact information
Practice address
912 FOXWOOD DR, DESOTO, TX 75115-4722
(214) 433-9436
Mailing address
912 FOXWOOD DR, DESOTO, TX 75115-4722
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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