Provider Demographics
NPI:1376782896
Name:STABILIZING FAMILIES AND INDIVIDUALS, LLC
Entity Type:Organization
Organization Name:STABILIZING FAMILIES AND INDIVIDUALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HERNDON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:919-606-1707
Mailing Address - Street 1:4819 EMPEROR BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5420
Mailing Address - Country:US
Mailing Address - Phone:919-606-1707
Mailing Address - Fax:
Practice Address - Street 1:4819 EMPEROR BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5420
Practice Address - Country:US
Practice Address - Phone:919-606-1707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care