Provider Demographics
NPI:1730309469
Name:FAMILY AND FRIENDS CARE CENTER
Entity Type:Organization
Organization Name:FAMILY AND FRIENDS CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LBSW
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRYAL
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-899-5761
Mailing Address - Street 1:6135 WINDSONG DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-3411
Mailing Address - Country:US
Mailing Address - Phone:409-899-5761
Mailing Address - Fax:409-924-0493
Practice Address - Street 1:6135 WINDSONG DRIVE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77713-3411
Practice Address - Country:US
Practice Address - Phone:409-899-5761
Practice Address - Fax:409-924-0493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10236251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management