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General NPI Number Information
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NPI Number | 1144395989
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Entity Type | Organization
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Legal Business Name | FAMILY HOME CARE INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 914 PICKWICK STREET
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City | SAVANNAH
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State | TN
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Zip | 38372
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Country | US
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Telephone | 731-926-3703
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Fax | 256-247-1582
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Provider Business Mailing Address
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Address Line | PO BOX 3449
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City | FLORENCE
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State | AL
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Zip | 35630
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Country | US
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Telephone | 731-926-3703
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Fax | 256-247-1582
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CATHERINE ANN CLEMONS
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Credential |
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Telephone | 256-247-1547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0000000829
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License Number State | TN
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