| Family Quality Care Service ,inc. | |
|
1812 Liberty St Durham NC 27703-2271 | |
| (919) 237-2225 | |
| (919) 237-2225 |
| Full Name | Family Quality Care Service ,inc. |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 1812 Liberty St, Durham, North Carolina |
| Authorized Official Name and Position | Sandra Denise Lassiter (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9192372225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Quality Care Service ,inc. Po Box 11265 Durham NC 27703-0265 Ph: (919) 237-2225 | Family Quality Care Service ,inc. 1812 Liberty St Durham NC 27703-2271 Ph: (919) 237-2225 |
| NPI Number | 1912060062 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 09/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912060062 | NPI | - | NPPES |
| 261QM0850X | Medicaid | NC | |
| 251E00000X | Medicaid | NC | |
| 261QM0801X | Medicaid | NC |
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