| NPI | 1790053064 |
|---|---|
| Doing Business As | LOVE & FAITH HEALTH & FITNESS |
| Entity Type | Organization |
| Authorized Contact | DERRICK JACK CUMBEE Executive Director 843-264-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-05-09 |