Organization Name: | FAMILY CARE FIRST, INC |
NPI Number: | 1568758274 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA FLORES (GENERAL MANAGER) |
Mailing Address: | 11809 Al Highway 157 Ste E Moulton |
State: | AL US |
Postal Code: | 356502707 |
Phone Number: | 2569050340 |
Fax Number: | 2569050346 |
NPI Enumeration Date: | 06/21/2011 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 11109 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |