Provider Demographics
NPI:1508113978
Name:FAITH & FAMILY CARE INC
Entity Type:Organization
Organization Name:FAITH & FAMILY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-970-6296
Mailing Address - Street 1:PO BOX 124
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:IA
Mailing Address - Zip Code:50674-0124
Mailing Address - Country:US
Mailing Address - Phone:855-970-6296
Mailing Address - Fax:855-970-6296
Practice Address - Street 1:1016 WEST 1ST ST
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:IA
Practice Address - Zip Code:50674-0124
Practice Address - Country:US
Practice Address - Phone:855-970-6296
Practice Address - Fax:855-970-6296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-04
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health