Provider Demographics
NPI:1336826098
Name:FAM'S FACILITATION SERVICES
Entity type:Organization
Organization Name:FAM'S FACILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-986-6058
Mailing Address - Street 1:2921 PINEHURST RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5035
Mailing Address - Country:US
Mailing Address - Phone:804-601-1930
Mailing Address - Fax:
Practice Address - Street 1:2921 PINEHURST RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-5035
Practice Address - Country:US
Practice Address - Phone:804-601-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty