Provider Demographics
NPI:1043692916
Name:FAMILY CARE SERVICES, LLC
Entity Type:Organization
Organization Name:FAMILY CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MEDUC
Authorized Official - Phone:804-749-3767
Mailing Address - Street 1:686 ROCKFORD RD
Mailing Address - Street 2:
Mailing Address - City:MANAKIN SABOT
Mailing Address - State:VA
Mailing Address - Zip Code:23103-2128
Mailing Address - Country:US
Mailing Address - Phone:804-749-3767
Mailing Address - Fax:
Practice Address - Street 1:686 ROCKFORD RD
Practice Address - Street 2:
Practice Address - City:MANAKIN SABOT
Practice Address - State:VA
Practice Address - Zip Code:23103-2128
Practice Address - Country:US
Practice Address - Phone:804-749-3767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management