Provider Demographics
NPI:1093924250
Name:FRANCOIS COMMUNITY HOUSE, INC.
Entity Type:Organization
Organization Name:FRANCOIS COMMUNITY HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LASSAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-846-1579
Mailing Address - Street 1:99 POSSUM HILL RD
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-8927
Mailing Address - Country:US
Mailing Address - Phone:843-846-1579
Mailing Address - Fax:843-846-1595
Practice Address - Street 1:99 POSSUM HILL RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-8927
Practice Address - Country:US
Practice Address - Phone:843-846-1579
Practice Address - Fax:843-846-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCADC116302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0447Medicaid