Organization
FAMILY CARE NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF CARLSON (CEO)
(805) 781-3535
Entity
Organization
Contact information
Practice address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-1577
(805) 781-3535
(805) 781-3538
Mailing address
1255 KENDALL RD, SAN LUIS OBISPO, CA 93401-1577
(805) 781-3535
(805) 781-3538
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS 22856
CA
251S00000X
Community/Behavioral Health Agency
LCS 22859
CA
251S00000X
Community/Behavioral Health Agency
MFC 29668
CA
251S00000X
Community/Behavioral Health Agency
MFC 30970
CA
251S00000X
Community/Behavioral Health Agency
MFC 33553
CA
251S00000X
Community/Behavioral Health Agency
MFC 36689
CA
251S00000X
Community/Behavioral Health Agency
MFC 38416
CA
251S00000X
Community/Behavioral Health Agency
MFC 41603
CA
251S00000X
Community/Behavioral Health Agency
MFC 43246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4026
SHORT-DOYLE-MEDICAL PROVI
CA
Enumeration date
05/04/2007
Last updated
02/26/2025
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