Provider Demographics
NPI:1396370052
Name:FAMILY FIRST ALLIANCE GROUP CORP
Entity Type:Organization
Organization Name:FAMILY FIRST ALLIANCE GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-884-5781
Mailing Address - Street 1:2209 CHARLES TOWNE CT
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-3106
Mailing Address - Country:US
Mailing Address - Phone:704-884-5781
Mailing Address - Fax:
Practice Address - Street 1:2209 CHARLES TOWNE CT
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-3106
Practice Address - Country:US
Practice Address - Phone:704-884-5781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)