David Faircloth
David Faircloth is a Custodial Care Facility in Gainesville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
9160 Lakeside WayGainesville, GA 30506-6224
Phone: (678) 777-3441
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|---|
| Custodial Care Facility | Taxonomy 311Z00000X |
Record details
| NPI number | 1831767953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2021 |
| Last updated in NPPES | June 15, 2021 |
| Certification date | June 15, 2021 |
| Mailing address | 9160 Lakeside Way, Gainesville, GA 30506-6224 |