Provider Demographics
NPI:1689182925
Name:FAMILY CARE TRANPORTATION
Entity Type:Organization
Organization Name:FAMILY CARE TRANPORTATION
Other - Org Name:FAMILY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMIRA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-423-1859
Mailing Address - Street 1:209 MOSHER RD
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-5838
Mailing Address - Country:US
Mailing Address - Phone:207-766-1573
Mailing Address - Fax:
Practice Address - Street 1:209 MOSHER RD
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:ME
Practice Address - Zip Code:04038-5838
Practice Address - Country:US
Practice Address - Phone:207-766-1573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health