Provider Demographics
NPI:1265649339
Name:F&S PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:F&S PROFESSIONAL SERVICES
Other - Org Name:DEVEREAUX HOME
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:EDWARDS
Authorized Official - Last Name:DEGRAFFENREID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-785-8225
Mailing Address - Street 1:634 DEVEREAUX CT NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2514
Mailing Address - Country:US
Mailing Address - Phone:704-785-8225
Mailing Address - Fax:704-785-8225
Practice Address - Street 1:634 DEVEREAUX CT NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2514
Practice Address - Country:US
Practice Address - Phone:704-785-8225
Practice Address - Fax:704-785-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home