Organization · NPI-2
A Faithful Heart, LLC
Day Training/Habilitation Specialist · Ruskin, FL
NPI number1114600509
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1114600509
- Entity type
- Organization (NPI-2)
- Legal business name
- A Faithful Heart, LLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2023
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
758 Barclay Wood DrRuskin, FL 33570-2016
Phone 813-704-9671
Mailing address
758 Barclay Wood DrRuskin, FL 33570-2016
Phone 813-213-9286
Authorized official
Michelle Dewar-Williams
Owner/Operator
8137049671
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.