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General NPI Number Information
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NPI Number | 1467575191
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Entity Type | Organization
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Legal Business Name | FAMILY CARE SOLUTIONS INC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 11/15/2007
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Provider Practice Location Address
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Address Line | 3638 VINEVILLE AVE
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City | MACON
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State | GA
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Zip | 31204-1853
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Country | US
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Telephone | 478-757-9909
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Fax | 478-757-0195
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Provider Business Mailing Address
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Address Line | 3638 VINEVILLE AVE
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City | MACON
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State | GA
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Zip | 31204-1853
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Country | US
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Telephone | 478-757-9909
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Fax | 478-757-0195
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. PAMELA ROSHELL
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Credential | PHD, MSW
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Telephone | 478-757-9909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 0111R0226
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0111R0226
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License Number State | GA
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