Provider Demographics
NPI:1952535411
Name:F&S PROFESSIONAL SERVICES INC
Entity type:Organization
Organization Name:F&S PROFESSIONAL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEGRAFFENREID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-712-1042
Mailing Address - Street 1:17811 MOORESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-6946
Mailing Address - Country:US
Mailing Address - Phone:704-712-1042
Mailing Address - Fax:
Practice Address - Street 1:17811 MOORESVILLE RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-6946
Practice Address - Country:US
Practice Address - Phone:704-712-1042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-013134261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1265649339Other7805341