Provider Demographics
NPI:1770015539
Name:FAITHFUL HANDS LLC
Entity Type:Organization
Organization Name:FAITHFUL HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:419-250-9880
Mailing Address - Street 1:5923 W BENALEX DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-4411
Mailing Address - Country:US
Mailing Address - Phone:419-250-9880
Mailing Address - Fax:
Practice Address - Street 1:5923 W BENALEX DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-4411
Practice Address - Country:US
Practice Address - Phone:419-250-9880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health