Provider Demographics
NPI:1700318862
Name:FAMILY SUPPORT COORDINATION INC
Entity Type:Organization
Organization Name:FAMILY SUPPORT COORDINATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SENG
Authorized Official - Suffix:
Authorized Official - Credentials:MSHA
Authorized Official - Phone:267-918-8493
Mailing Address - Street 1:2346 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3810
Mailing Address - Country:US
Mailing Address - Phone:215-755-1327
Mailing Address - Fax:215-755-1327
Practice Address - Street 1:2346 S 7TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3810
Practice Address - Country:US
Practice Address - Phone:215-755-1327
Practice Address - Fax:215-755-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care