Provider Demographics
NPI:1336208495
Name:FAITH STAFFING AGENCY INC
Entity Type:Organization
Organization Name:FAITH STAFFING AGENCY INC
Other - Org Name:FAITH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:AIYEYOMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-907-7226
Mailing Address - Street 1:PO BOX 960113
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296-0113
Mailing Address - Country:US
Mailing Address - Phone:770-907-7726
Mailing Address - Fax:404-506-9400
Practice Address - Street 1:1590 PHOENIX BLVD
Practice Address - Street 2:260
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5541
Practice Address - Country:US
Practice Address - Phone:770-907-7226
Practice Address - Fax:404-506-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA131-R-0028251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care