Provider Demographics
NPI:1235654419
Name:FAVOR HOLDINGS CORPORATION
Entity Type:Organization
Organization Name:FAVOR HOLDINGS CORPORATION
Other - Org Name:WEDELL'S HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-331-8694
Mailing Address - Street 1:PO BOX 410
Mailing Address - Street 2:
Mailing Address - City:FREDERICA
Mailing Address - State:DE
Mailing Address - Zip Code:19946-0410
Mailing Address - Country:US
Mailing Address - Phone:302-331-8694
Mailing Address - Fax:302-269-3821
Practice Address - Street 1:267 FARNER RD
Practice Address - Street 2:
Practice Address - City:FARNER
Practice Address - State:TN
Practice Address - Zip Code:37333-6414
Practice Address - Country:US
Practice Address - Phone:423-496-5010
Practice Address - Fax:302-269-3821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home