Provider Demographics
NPI:1124197298
Name:FAMILY & CHILDREN'S SERVICE
Entity Type:Organization
Organization Name:FAMILY & CHILDREN'S SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:612-341-1658
Mailing Address - Street 1:414 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1025
Mailing Address - Country:US
Mailing Address - Phone:612-341-1658
Mailing Address - Fax:612-341-1642
Practice Address - Street 1:9201 E BLOOMINGTON FWY
Practice Address - Street 2:SUITE Q
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-3437
Practice Address - Country:US
Practice Address - Phone:952-884-7353
Practice Address - Fax:952-884-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management