| Faithhopelove, Llc | |
|
1144 Rosebud Run Aylett VA 23009-4120 | |
| (804) 490-5953 | |
| Not Available |
| Full Name | Faithhopelove, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1144 Rosebud Run, Aylett, Virginia |
| Authorized Official Name and Position | Samone Boyd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8044905953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithhopelove, Llc 1144 Rosebud Run Aylett VA 23009-4120 Ph: (804) 490-5953 | Faithhopelove, Llc 1144 Rosebud Run Aylett VA 23009-4120 Ph: (804) 490-5953 |
| NPI Number | 1669164737 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669164737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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