Provider Demographics
NPI:1992931398
Name:F & C HOME CARE SERVICE LLC
Entity type:Organization
Organization Name:F & C HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESHUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-523-4113
Mailing Address - Street 1:4200 N PEBBLE CREEK PKWY APT 2039
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-9026
Mailing Address - Country:US
Mailing Address - Phone:623-523-4113
Mailing Address - Fax:
Practice Address - Street 1:4200 N PEBBLE CREEK PKWY APT 2039
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-9026
Practice Address - Country:US
Practice Address - Phone:623-523-4113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-31
Last Update Date:2009-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care