Organization
FAMILY SERVICE CORPORATION, INC.
Active
Other names
FSC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PETER JAKES SR. BFA (CEO)
(985) 974-1862
Entity
Organization
Contact information
Practice address
1425 LYNN ST # A, THIBODAUX, LA 70301-4416
(985) 448-3454
Mailing address
1425 LYNN ST # A, THIBODAUX, LA 70301-4416
(985) 448-3454
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM 6901
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714267
—
LA
Enumeration date
08/27/2007
Last updated
08/27/2007
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