Provider Demographics
NPI:1194546226
Name:TWIST OF FAITH HOME CARE
Entity type:Organization
Organization Name:TWIST OF FAITH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-733-5206
Mailing Address - Street 1:6719 COUNTY ROAD 33
Mailing Address - Street 2:
Mailing Address - City:SKIPPERVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36374
Mailing Address - Country:US
Mailing Address - Phone:334-733-5206
Mailing Address - Fax:334-999-9045
Practice Address - Street 1:6719 COUNTY ROAD 33
Practice Address - Street 2:
Practice Address - City:SKIPPERVILLE
Practice Address - State:AL
Practice Address - Zip Code:36374
Practice Address - Country:US
Practice Address - Phone:334-733-5206
Practice Address - Fax:334-999-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care