Provider Demographics
NPI:1376066969
Name:FAITH WORKS HOME CARE SERVICES
Entity Type:Organization
Organization Name:FAITH WORKS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-466-2652
Mailing Address - Street 1:PO BOX 1621
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38935-1621
Mailing Address - Country:US
Mailing Address - Phone:662-466-2652
Mailing Address - Fax:662-644-5152
Practice Address - Street 1:227 W MARKET ST STE 1
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-4357
Practice Address - Country:US
Practice Address - Phone:662-644-5118
Practice Address - Fax:662-644-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care