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Organization
PROFESSIONAL FAMILY CARE SERVICES, INC.
Active
Organization
PROFESSIONAL FAMILY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENSON OTOVO MBA (EXECUTIVE DIRECTOR)
(910) 485-0085
Entity
Organization
Contact information
Practice address
1016 PATRICK DR, FAYETTEVILLE, NC 28314-5921
(910) 487-9868
Mailing address
PO BOX 35150, FAYETTEVILLE, NC 28303-0150
(910) 485-0085
(910) 485-0334
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL026698
NC
Other
Enumeration date
03/15/2007
Last updated
12/19/2022
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