Provider Demographics
NPI:1982385340
Name:C&M FAMILY CARE SERVICES LLC
Entity Type:Organization
Organization Name:C&M FAMILY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:ZANETA
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-758-1053
Mailing Address - Street 1:112 ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-1403
Mailing Address - Country:US
Mailing Address - Phone:984-758-1053
Mailing Address - Fax:
Practice Address - Street 1:112 ALLEN AVE
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:NC
Practice Address - Zip Code:27525-1403
Practice Address - Country:US
Practice Address - Phone:984-758-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C&M FAMILY CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health