Provider Demographics
NPI:1598206492
Name:FAMILY RESOURCE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:FAMILY RESOURCE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHALANUKORN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:732-747-5310
Mailing Address - Street 1:35 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4007
Mailing Address - Country:US
Mailing Address - Phone:732-747-5310
Mailing Address - Fax:732-747-1896
Practice Address - Street 1:135 SALMON ST
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-3456
Practice Address - Country:US
Practice Address - Phone:732-747-5310
Practice Address - Fax:732-747-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services