Provider Demographics
NPI:1376158873
Name:FAITH & FAVOR HEALTHCARE INC
Entity Type:Organization
Organization Name:FAITH & FAVOR HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MBIYAMBANG-DOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-789-2482
Mailing Address - Street 1:5609 DATEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8351
Mailing Address - Country:US
Mailing Address - Phone:214-789-2482
Mailing Address - Fax:469-519-1365
Practice Address - Street 1:5609 DATEWOOD LN
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-8351
Practice Address - Country:US
Practice Address - Phone:214-789-2482
Practice Address - Fax:469-519-1365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty