Provider Demographics
NPI:1356547046
Name:AGING FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:AGING FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:HAWKINS
Authorized Official - Last Name:THERIAULT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-781-5979
Mailing Address - Street 1:4812 SIX FORKS RD
Mailing Address - Street 2:STE. 110
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5249
Mailing Address - Country:US
Mailing Address - Phone:919-781-5979
Mailing Address - Fax:919-781-5975
Practice Address - Street 1:4812 SIX FORKS RD
Practice Address - Street 2:STE. 110
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5249
Practice Address - Country:US
Practice Address - Phone:919-781-5979
Practice Address - Fax:919-781-5975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management