Organization · NPI-2
Faithful Nubian Services, LLC
Home Health · Newport News, VA
NPI number1013364512
StatusActive
Last updated in NPPESMay 16, 2016
Details
- NPI
- 1013364512
- Entity type
- Organization (NPI-2)
- Legal business name
- Faithful Nubian Services, LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2016
- Last updated
- May 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
410 Hustings LnUnit E
Newport News, VA 23608-2807
Phone 757-491-3941 · Fax 757-325-8283
Mailing address
410 Hustings LnUnit E
Newport News, VA 23608-2807
Phone 757-491-3941 · Fax 757-325-8283
Authorized official
Surena Glover
Owner
7574193941
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