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NPI Code Detail

MEDICARE: FAMILY SUPPORT SERVICES

MEDICARE: FAMILY SUPPORT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073715082
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SUPPORT SERVICES
Provider Business Mailing Address
First Line : 303 HEGENBERGER RD STE 400
Second Line :
City : OAKLAND
State : CA
Zip : 94621-1419
Country : US
Telephone Number : 510-834-2443
Fax Number : 510-834-1548
Provider Business Practice Location Address
First Line : 303 HEGENBERGER RD STE 400
Second Line :
City : OAKLAND
State : CA
Zip : 94621-1419
Country : US
Telephone Number : 510-834-2443
Fax Number : 510-834-1548
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : ELIZABETH ADEYI
Credential :
Telephone Number : 510-834-2443
Provider Enumeration Date : 06/01/2007
Last Update Date : 12/07/2018

Similar Medicare Providers

1538360805 — FAMILY SUPPORT SERVICES
Practice Location Address:
303 HEGENBERGER RD STE 400
OAKLAND, CA
94621-1419
Practice Phone: 510-834-2443
Practice Fax: 510-834-1548
1346408333 — MRS. LADONNA DENISE DAILY
Practice Location Address:
303 HEGENBERGER RD STE 400
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1295277192 — HEALTHFLEX HOSPICE
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1093532210 — IKEOLUWA ADESIYAN OLADOJA
Practice Location Address:
303 HEGENBERGER RD STE 400
OAKLAND, CA
94621-1419
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Practice Fax:
1407739907 — RAJAMUNE HOBBS
Practice Location Address:
303 HEGENBERGER RD STE 400
OAKLAND, CA
94621-1419
Practice Phone: 510-834-2443
Practice Fax:
1689557183 — YESENIA GUTIERREZ
Practice Location Address:
303 HEGENBERGER RD STE 400
OAKLAND, CA
94621-1419
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Practice Fax:

Directions to “FAMILY SUPPORT SERVICES ” Practice Location

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