Provider Demographics
NPI:1023495918
Name:FAMILY SERVICE ASSOCIATION OF HOWARD COUNTY, INC.
Entity type:Organization
Organization Name:FAMILY SERVICE ASSOCIATION OF HOWARD COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OFCOUNSELING & SUPPORT SVC
Authorized Official - Prefix:
Authorized Official - First Name:NELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MPM
Authorized Official - Phone:765-457-9313
Mailing Address - Street 1:618 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-5462
Mailing Address - Country:US
Mailing Address - Phone:765-457-9313
Mailing Address - Fax:
Practice Address - Street 1:618 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-5462
Practice Address - Country:US
Practice Address - Phone:765-457-9313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care