NPI | 1154512424 |
---|---|
Doing Business As | FAMILY HEALTH CARE SERVICES |
Entity Type | Organization |
Authorized Contact | JOHN DAVID WALLACE President 252-514-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2007-08-01 |
Last Update Date | 2007-08-01 |