Provider Demographics
NPI:1184873747
Name:THE FAITHFUL INCORPORATED
Entity type:Organization
Organization Name:THE FAITHFUL INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:DELL
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-449-7275
Mailing Address - Street 1:5585 E PACIFIC COAST HWY UNIT 215
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-9478
Mailing Address - Country:US
Mailing Address - Phone:562-901-9995
Mailing Address - Fax:
Practice Address - Street 1:5585 E PACIFIC COAST HWY UNIT 215
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-9478
Practice Address - Country:US
Practice Address - Phone:562-901-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based