# FAMILY ADULT SITTING SERVICES, (FASS),LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FASS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265015929
- **Authorized official:** DOMINIQUE N WOULLARD (CEO)
- **Authorized official phone:** (850) 358-6175

## Contact information

- **Practice address:** 112 HENDERSON AVE, PANAMA CITY, FL 32401
- **Practice address phone:** (850) 358-6175
- **Mailing address:** 2319 S HIGHWAY 77 UNIT 1824, LYNN HAVEN, FL 32444-7773
- **Mailing address phone:** (850) 358-6175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2021
- **Last updated:** 07/29/2022