Provider Demographics
NPI:1003560079
Name:FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-382-8111
Mailing Address - Street 1:849 FAIRMOUNT AVE FL 5
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2624
Mailing Address - Country:US
Mailing Address - Phone:410-382-8111
Mailing Address - Fax:
Practice Address - Street 1:7401 FORBES BLVD STE F
Practice Address - Street 2:ON-TRACK SE
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2261
Practice Address - Country:US
Practice Address - Phone:240-708-0621
Practice Address - Fax:240-631-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD220212191OtherMD STATE LICENSE