Provider Demographics
NPI:1831679638
Name:FAITH AND FRIENDS HEALTHCARE STAFFING LLC
Entity type:Organization
Organization Name:FAITH AND FRIENDS HEALTHCARE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-891-8533
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-0062
Mailing Address - Country:US
Mailing Address - Phone:601-891-8533
Mailing Address - Fax:601-891-8293
Practice Address - Street 1:130 S CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-8478
Practice Address - Country:US
Practice Address - Phone:601-405-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163WP0200XNursing Service ProvidersRegistered NursePediatricsGroup - Single Specialty