Healthcare Provider Details

I. General information

NPI: 1265553473
Provider Name (Legal Business Name): FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 FATHER DEVALLES BLVD
FALL RIVER MA
02723-1519
US

IV. Provider business mailing address

101 ROCK ST
FALL RIVER MA
02720-3133
US

V. Phone/Fax

Practice location:
  • Phone: 508-324-4208
  • Fax: 508-675-1600
Mailing address:
  • Phone: 508-677-3822
  • Fax: 508-677-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. CAROL A NAGLE
Title or Position: CHEIF EXECUTIVE OFFFICER
Credential: MS
Phone: 508-677-3822