Provider Demographics
NPI:1861629610
Name:FAMILY CARE CONNECTION
Entity Type:Organization
Organization Name:FAMILY CARE CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARRON
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW,MS,INCP
Authorized Official - Phone:972-298-3366
Mailing Address - Street 1:6969 PASTOR BAILEY DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-2636
Mailing Address - Country:US
Mailing Address - Phone:972-298-3366
Mailing Address - Fax:214-920-8494
Practice Address - Street 1:6969 PASTOR BAILEY DR
Practice Address - Street 2:SUITE 140
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-2636
Practice Address - Country:US
Practice Address - Phone:972-298-3366
Practice Address - Fax:214-920-8494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management