Faith Independence 1a INC
Home Health in Ocoee, FL. Organization (NPI-2).
NPI number1962174078
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1962174078
- Entity type
- Organization (NPI-2)
- Legal business name
- Faith Independence 1a INC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
456 Canby CirOcoee, FL 34761-8903
Phone 407-309-0481 · Fax 407-641-9799
Mailing address
456 Canby CirOcoee, FL 34761-8903
Phone 407-309-0481 · Fax 407-641-9799
Authorized official
Lue-Jimmie Fillicia Johnson
Owner
4073090481
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