Healthcare Provider Details

I. General information

NPI: 1336368562
Provider Name (Legal Business Name): FAMILY CIRCLE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 OUTLET CENTER DR STE 370
OXNARD CA
93036-0627
US

IV. Provider business mailing address

2100 OUTLET CENTER DR STE 370
OXNARD CA
93036-0627
US

V. Phone/Fax

Practice location:
  • Phone: 805-385-4180
  • Fax: 805-385-8846
Mailing address:
  • Phone: 805-385-4180
  • Fax: 805-385-8846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number070000601
License Number StateCA

VIII. Authorized Official

Name: MRS. KATY KRUL
Title or Position: ADMINISTRATOR
Credential:
Phone: 805-385-4180