Healthcare Provider Details

I. General information

NPI: 1093924250
Provider Name (Legal Business Name): FRANCOIS COMMUNITY HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 POSSUM HILL RD
BEAUFORT SC
29906-8927
US

IV. Provider business mailing address

99 POSSUM HILL RD
BEAUFORT SC
29906-8927
US

V. Phone/Fax

Practice location:
  • Phone: 843-846-1579
  • Fax: 843-846-1595
Mailing address:
  • Phone: 843-846-1579
  • Fax: 843-846-1595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberADC116
License Number StateSC

VIII. Authorized Official

Name: MRS. SANDRA LASSAI
Title or Position: OWNER DIRECTOR
Credential:
Phone: 843-846-1579