Family Service Agency
LBN: Family Service Agency
Family Service Agency is an health care organization with primary practice located at 1107 S Gilbert Rd Suite 104, Mesa AZ 85204-5232. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable. Agencies / Community/Behavioral Health is the primary health care specialty.
Family Service Agency can be contacted via phone (602) 264-9891, or through Lopez, Rose M via phone (520) 721-1887.
Contact Information
Primary practice address
1107 S Gilbert Rd Suite 104
Mesa AZ 85204-5232
Phone: (602) 264-9891
Fax: (602) 234-2639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Voluntary or Charitable | 251V00000X | BH-1277 | Arizona |
| Agencies / Voluntary or Charitable | 251V00000X | OTC8084 | Arizona |
Profile Details
| NPI number | 1740487222 |
|---|---|
| LBN Legal business name | Family Service Agency |
| DBA Doing business as | |
| Authorized official | Lopez, Rose M MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Nov 21st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740487222 | NPPES |
| Arizona | Other | OTC11459 | ADHS/BMFL |
| Arizona | Other | 117079 | ADHS/BMFL |
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