Provider Demographics
NPI:1578922498
Name:ALL IN FAITH HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ALL IN FAITH HEALTHCARE SERVICES LLC
Other - Org Name:ALL IN FAITH HOME CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:D'NITA
Authorized Official - Last Name:DAUGHTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-373-3507
Mailing Address - Street 1:731 HOPKINS ST
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-3041
Mailing Address - Country:US
Mailing Address - Phone:706-373-3501
Mailing Address - Fax:
Practice Address - Street 1:731 HOPKINS ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-3041
Practice Address - Country:US
Practice Address - Phone:706-373-3501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA121-R-1461251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health