Provider Demographics
NPI:1447422068
Name:FAITH WAY RESIDENTIAL LIVING
Entity Type:Organization
Organization Name:FAITH WAY RESIDENTIAL LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-398-4940
Mailing Address - Street 1:5360 COLTON DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-1412
Mailing Address - Country:US
Mailing Address - Phone:314-398-4940
Mailing Address - Fax:314-385-2032
Practice Address - Street 1:5360 COLTON DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-1412
Practice Address - Country:US
Practice Address - Phone:314-398-4940
Practice Address - Fax:314-385-2032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility