Healthcare Provider Details

I. General information

NPI: 1518731512
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: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N MAIN ST
FALL RIVER MA
02720-2327
US

IV. Provider business mailing address

101 ROCK ST
FALL RIVER MA
02720-3138
US

V. Phone/Fax

Practice location:
  • Phone: 508-673-1290
  • Fax:
Mailing address:
  • Phone: 508-677-3822
  • Fax:

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: SHARON E FORD
Title or Position: CEO
Credential:
Phone: 508-677-3822