MEDICARE: FAMILY SERVICE

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
1	251S00000X	Community/Behavioral Health Agency	C.0800110-TRNE	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1770753741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY SERVICE

Provider Business Mailing Address
First Line	:	200 MCFARLAND ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2615
Country	:	US
Telephone Number	:	513-381-6300
Fax Number	:	513-345-8559

Provider Business Practice Location Address
First Line	:	200 MCFARLAND ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2615
Country	:	US
Telephone Number	:	513-381-6300
Fax Number	:	513-345-8559

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MS. LATANYA NICOLE COBB
Credential	:
Telephone Number	:	513-381-6300

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	03/06/2008

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Directions to “FAMILY SERVICE ” Practice Location

Language	Start Address	Practice Location

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