Provider Demographics
NPI:1902416993
Name:FAITH CARE CENTER, INC.
Entity Type:Organization
Organization Name:FAITH CARE CENTER, INC.
Other - Org Name:FAITH CARE CENTER INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS-BILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-985-4791
Mailing Address - Street 1:11161 NW 23RD CT
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3648
Mailing Address - Country:US
Mailing Address - Phone:772-985-4791
Mailing Address - Fax:954-827-2424
Practice Address - Street 1:3800 INVERRARY BLVD STE 408D
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4359
Practice Address - Country:US
Practice Address - Phone:177-298-5479
Practice Address - Fax:954-827-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities