Provider Demographics
NPI:1598496663
Name:THE FAITH HOUSE
Entity Type:Organization
Organization Name:THE FAITH HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STORY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, LNHA,BA,MHA
Authorized Official - Phone:618-606-0225
Mailing Address - Street 1:1608 VENTNOR PL
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-1526
Mailing Address - Country:US
Mailing Address - Phone:618-606-0225
Mailing Address - Fax:
Practice Address - Street 1:269 S BARAT AVE
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-2121
Practice Address - Country:US
Practice Address - Phone:314-669-5389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi