MEDICARE: INTEGRATED FAMILY SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700937687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED FAMILY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	3622 LYCKAN PKWY
Second Line	:	SUITE 4001
City	:	DURHAM
State	:	NC
Zip	:	27707-2564
Country	:	US
Telephone Number	:	919-430-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3622 LYCKAN PKWY
Second Line	:	SUITE 4001
City	:	DURHAM
State	:	NC
Zip	:	27707-2564
Country	:	US
Telephone Number	:	919-430-5200
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MRS. TONJA AUSTIN
Credential	:
Telephone Number	:	919-510-5110

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	08/22/2020

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