Provider Demographics
NPI:1710590625
Name:FAITHFULLY FAVOURED HOME CARE AND COMPANION SERVICES
Entity Type:Organization
Organization Name:FAITHFULLY FAVOURED HOME CARE AND COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-342-2746
Mailing Address - Street 1:2770 ROOSEVELT BLVD APT 2151
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-2543
Mailing Address - Country:US
Mailing Address - Phone:727-342-2746
Mailing Address - Fax:
Practice Address - Street 1:2770 ROOSEVELT BLVD APT 2151
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-2543
Practice Address - Country:US
Practice Address - Phone:727-342-2746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care