Organization Name: | FHC FAMILY HOME CARE |
NPI Number: | 1033276142 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET WARD GO (DIRECTOR) |
Mailing Address: | 226 Parkovash Ave South Bend |
State: | IN US |
Postal Code: | 466171147 |
Phone Number: | 5743294407 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |