Provider Demographics
NPI:1487244943
Name:FAMILY RESOURCES OF RUTHERFORD COUNTY, INC
Entity type:Organization
Organization Name:FAMILY RESOURCES OF RUTHERFORD COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FAMILY SUPPORT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-247-0366
Mailing Address - Street 1:PO BOX 1619
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-1619
Mailing Address - Country:US
Mailing Address - Phone:828-247-0366
Mailing Address - Fax:828-247-1870
Practice Address - Street 1:331 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3648
Practice Address - Country:US
Practice Address - Phone:828-247-0366
Practice Address - Fax:828-247-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse PediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1437235173Medicaid
NC1578156782Medicaid