Provider Demographics
NPI:1396115689
Name:FAITHLAND HEALTHCARE & REHAB INC
Entity type:Organization
Organization Name:FAITHLAND HEALTHCARE & REHAB INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-999-4830
Mailing Address - Street 1:PO BOX 642
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-0642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3727 GREENBRIAR DR
Practice Address - Street 2:118
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3954
Practice Address - Country:US
Practice Address - Phone:832-999-4827
Practice Address - Fax:832-998-8145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center