| Family Foundations, Inc | |
|
17566 Fleetwood Ln South Bend IN 46635-1367 | |
| (574) 271-0121 | |
| Not Available |
| Full Name | Family Foundations, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17566 Fleetwood Ln, South Bend, Indiana |
| Authorized Official Name and Position | Patricia Hancock (PARTNER) |
| Authorized Official Contact | 5743602526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Foundations, Inc 17566 Fleetwood Ln South Bend IN 46635-1367 Ph: () - | Family Foundations, Inc 17566 Fleetwood Ln South Bend IN 46635-1367 Ph: (574) 271-0121 |
| NPI Number | 1033486907 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 11/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033486907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34004712A (Indiana) | Primary |
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