| Organization Name: | FAMILY CARE CENTER |
| NPI Number: | 1629406996 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE LEE HESS (OFFICE MANAGER) |
| Mailing Address: | 1109 Plaza Dr Grundy |
| State: | VA US |
| Postal Code: | 246146780 |
| Phone Number: | 2769352677 |
| Fax Number: | 2769355775 |
| NPI Enumeration Date: | 10/24/2013 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |