Provider Demographics
NPI:1972377562
Name:FAMICO BI BI BI LLC
Entity Type:Organization
Organization Name:FAMICO BI BI BI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YOKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-429-5356
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-0334
Mailing Address - Country:US
Mailing Address - Phone:330-454-9031
Mailing Address - Fax:
Practice Address - Street 1:1740 PEARCE CIR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-1853
Practice Address - Country:US
Practice Address - Phone:330-429-5356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility