Provider Demographics
NPI:1922562768
Name:FAMILY TIES IN HOME SERVICES
Entity Type:Organization
Organization Name:FAMILY TIES IN HOME SERVICES
Other - Org Name:FAMILY TIES IN HOME SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-497-0058
Mailing Address - Street 1:1515 N WARSON RD STE 268
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1110
Mailing Address - Country:US
Mailing Address - Phone:314-497-0058
Mailing Address - Fax:
Practice Address - Street 1:1515 N WARSON RD STE 268
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1110
Practice Address - Country:US
Practice Address - Phone:314-497-0058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health