| NPI | 1700565090 |
|---|---|
| Former Legal Business Name | FAITH HEART HOMECARE CEO |
| Former Legal Business Name | FAITH HEART HOMECARE |
| Entity Type | Organization |
| Authorized Contact | TYNISHIA RENE FREEMAN CEO 601-462-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-11-09 |