Provider Demographics
NPI:1548931835
Name:ANOINTED BY FAITH PCA LLC
Entity type:Organization
Organization Name:ANOINTED BY FAITH PCA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:225-588-8058
Mailing Address - Street 1:10022 GREENWELL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-4519
Mailing Address - Country:US
Mailing Address - Phone:122-558-8805
Mailing Address - Fax:
Practice Address - Street 1:10022 GREENWELL SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-4519
Practice Address - Country:US
Practice Address - Phone:122-558-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-26
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health