Provider Demographics
NPI:1083858575
Name:FAMILY RESOURCE ASSOCIATES, INC
Entity type:Organization
Organization Name:FAMILY RESOURCE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PHALANUKORN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:732-747-5310
Mailing Address - Street 1:210 NEWMAN SPRINGS RD E
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1439
Mailing Address - Country:US
Mailing Address - Phone:732-747-5310
Mailing Address - Fax:732-747-1896
Practice Address - Street 1:210 NEWMAN SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1439
Practice Address - Country:US
Practice Address - Phone:732-948-5793
Practice Address - Fax:732-747-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation