Healthcare Provider Details

I. General information

NPI: 1316143753
Provider Name (Legal Business Name): FALL RIVER FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 PLYMOUTH AVE
FALL RIVER MA
02721-4231
US

IV. Provider business mailing address

427 PLYMOUTH AVE
FALL RIVER MA
02721-4231
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-0010
  • Fax: 508-672-4679
Mailing address:
  • Phone: 508-679-0010
  • Fax: 508-672-4679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MRS. NAUKA T PATEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 508-679-0010