Provider Demographics
NPI:1225162662
Name:FAMILYTREE ALTERNATIVE FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILYTREE ALTERNATIVE FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GREER
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:828-272-9759
Mailing Address - Street 1:3272 N BEARWALLOW RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-1019
Mailing Address - Country:US
Mailing Address - Phone:828-272-9759
Mailing Address - Fax:828-272-9032
Practice Address - Street 1:3272 N BEARWALLOW RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-1019
Practice Address - Country:US
Practice Address - Phone:828-272-9759
Practice Address - Fax:828-272-9032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409315Medicaid