Provider Demographics
NPI:1487426557
Name:FAITHFUL HOME HEALTH SERVICES
Entity type:Organization
Organization Name:FAITHFUL HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSKANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-230-1336
Mailing Address - Street 1:4045 N FRESNO ST STE 103C
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4099
Mailing Address - Country:US
Mailing Address - Phone:559-230-1336
Mailing Address - Fax:559-230-1366
Practice Address - Street 1:4045 N FRESNO ST STE 103C
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4099
Practice Address - Country:US
Practice Address - Phone:559-230-1336
Practice Address - Fax:559-230-1366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health