Faith Independence 3a INC

NPI #1205508314 in Ocoee, Florida

Provider Information

NPI Number: 1205508314
Entity Type: Organization
Organization Name: Faith Independence 3a INC
Primary Specialty: Home Health
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 456 CANBY CIR
City: Ocoee
State: Florida
ZIP Code: 34761-8903
Phone: (407) 309-0481

Authorized Official

Name: LUE JIMMIE FILLICIA JOHNSON
Title: OWNER
Phone: (407) 309-0481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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