Provider Demographics
NPI:1841436607
Name:FAITHFUL HOME CARE SERVICES
Entity type:Organization
Organization Name:FAITHFUL HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:AKUNNE
Authorized Official - Last Name:LECLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-277-0147
Mailing Address - Street 1:16911 OAKS CROSSING LN
Mailing Address - Street 2:16911
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6869
Mailing Address - Country:US
Mailing Address - Phone:281-277-0147
Mailing Address - Fax:
Practice Address - Street 1:16911 OAKS CROSSING LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6869
Practice Address - Country:US
Practice Address - Phone:281-277-0147
Practice Address - Fax:281-277-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility