Provider Demographics
NPI:1326190240
Name:ASSOCIATED FAMILY CARE SERVICES INC
Entity Type:Organization
Organization Name:ASSOCIATED FAMILY CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZIEBRO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:570-287-8661
Mailing Address - Street 1:17 ELIZABETH STREET
Mailing Address - Street 2:
Mailing Address - City:FORTY FORT
Mailing Address - State:PA
Mailing Address - Zip Code:18704
Mailing Address - Country:US
Mailing Address - Phone:570-287-8661
Mailing Address - Fax:570-287-0192
Practice Address - Street 1:17 ELIZABETH STREET
Practice Address - Street 2:
Practice Address - City:FORTY FORT
Practice Address - State:PA
Practice Address - Zip Code:18704
Practice Address - Country:US
Practice Address - Phone:570-287-8661
Practice Address - Fax:570-287-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No251J00000XAgenciesNursing CareGroup - Single Specialty