Provider Demographics
NPI:1659603348
Name:FAMILY CARE SITTER SERVICES
Entity Type:Organization
Organization Name:FAMILY CARE SITTER SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-534-9873
Mailing Address - Street 1:1901 RICKETY LN
Mailing Address - Street 2:STE 215
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1702
Mailing Address - Country:US
Mailing Address - Phone:903-534-9873
Mailing Address - Fax:903-509-0026
Practice Address - Street 1:1901 RICKETY LN
Practice Address - Street 2:STE 215
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1702
Practice Address - Country:US
Practice Address - Phone:903-534-9873
Practice Address - Fax:903-509-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care