Provider Demographics
NPI: | 1215148648 |
---|---|
Name: | FAMILY HEALTH CARE, INC |
Entity type: | Organization |
Organization Name: | FAMILY HEALTH CARE, INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CORPORATE OFFICER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | VICKY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ABITTAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 775-827-5995 |
Mailing Address - Street 1: | 2999 S VIRGINIA ST |
Mailing Address - Street 2: | |
Mailing Address - City: | RENO |
Mailing Address - State: | NV |
Mailing Address - Zip Code: | 89502-4216 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 775-827-5995 |
Mailing Address - Fax: | 775-827-3146 |
Practice Address - Street 1: | 2999 S VIRGINIA ST |
Practice Address - Street 2: | |
Practice Address - City: | RENO |
Practice Address - State: | NV |
Practice Address - Zip Code: | 89502-4216 |
Practice Address - Country: | US |
Practice Address - Phone: | 775-827-5995 |
Practice Address - Fax: | 775-827-3146 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-05-25 |
Last Update Date: | 2008-12-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NV | B01169 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |