Healthcare Provider Details

I. General information

NPI: 1932296365
Provider Name (Legal Business Name): FAMILIES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 HAMPTON AVENUE EXTENSION
GREENVILLE SC
29601
US

IV. Provider business mailing address

201 B WEST BUTLER ROAD STE 1107
MAULDIN SC
29662-2536
US

V. Phone/Fax

Practice location:
  • Phone: 864-242-9209
  • Fax: 864-242-9210
Mailing address:
  • Phone: 864-228-7500
  • Fax: 864-228-7500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. GWENDOLYN ELAINE JACKSON
Title or Position: CEO
Credential:
Phone: 864-242-9209