Provider Demographics
NPI:1770194847
Name:FAITHFUL HANDS PCA LLC
Entity Type:Organization
Organization Name:FAITHFUL HANDS PCA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-461-5733
Mailing Address - Street 1:8008 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1918
Mailing Address - Country:US
Mailing Address - Phone:414-461-5733
Mailing Address - Fax:414-461-5778
Practice Address - Street 1:8008 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1918
Practice Address - Country:US
Practice Address - Phone:414-461-5733
Practice Address - Fax:414-461-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health