Provider Demographics
NPI:1518157965
Name:FAMILY SERVICES, INC
Entity Type:Organization
Organization Name:FAMILY SERVICES, INC
Other - Org Name:FAMILY SERVICES AGENCY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIR, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-382-8111
Mailing Address - Street 1:610 E. DIAMOND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-5321
Mailing Address - Country:US
Mailing Address - Phone:301-840-2000
Mailing Address - Fax:301-840-9621
Practice Address - Street 1:630 E DIAMOND AVE STE A-C
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-5322
Practice Address - Country:US
Practice Address - Phone:301-840-3292
Practice Address - Fax:301-963-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD588881600Medicaid