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Organization
PROFESSONAL FAMILY CARE SERVICES, INC
Active
Organization
PROFESSONAL 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
1012 PAMALEE DR, FAYETTEVILLE, NC 28303
(910) 485-0085
(910) 485-0334
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408859
—
NC
Enumeration date
03/14/2007
Last updated
10/02/2023
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