Provider Demographics
NPI:1912589532
Name:IFAITH HOME HEALTHCARE SOLUTION
Entity type:Organization
Organization Name:IFAITH HOME HEALTHCARE SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AFUA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFOSUHENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-953-4804
Mailing Address - Street 1:4 RALEIGH LN
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8835
Mailing Address - Country:US
Mailing Address - Phone:703-953-4804
Mailing Address - Fax:
Practice Address - Street 1:4 RALEIGH LN
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8835
Practice Address - Country:US
Practice Address - Phone:703-953-4804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health