Provider Demographics
NPI:1114691961
Name:HOPE AND FAITH COMPANION CARE, LLC
Entity Type:Organization
Organization Name:HOPE AND FAITH COMPANION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:LAMIER
Authorized Official - Last Name:HUTCHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-220-8311
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:39818
Mailing Address - Country:US
Mailing Address - Phone:229-220-8311
Mailing Address - Fax:
Practice Address - Street 1:327 OFFICE PLAZA D SUITE 10
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301
Practice Address - Country:US
Practice Address - Phone:850-895-9522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty