Organization
FAMILY SOLUTIONS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILLENE TILLMAN (OWNER/MANAGER)
(336) 998-1652
Entity
Organization
Contact information
Practice address
137 HIDDEN CREEK DR, ADVANCE, NC 27006-8754
(336) 998-1652
(336) 998-1652
Mailing address
137 HIDDEN CREEK DR, ADVANCE, NC 27006-8754
(336) 998-1652
(336) 998-1652
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409643
—
NC
Enumeration date
01/15/2007
Last updated
09/26/2013
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