Organization
A FRESH START FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA K MARSHALL (EXECUTIVE DIRECTOR)
(704) 695-5276
Entity
Organization
Contact information
Practice address
501 N GREENE STREET, WADESBORO, NC 28170-1612
(704) 694-4909
(704) 943-0861
Mailing address
PO BOX 1364, WADESBORO, NC 28170-1364
(704) 694-4909
(704) 943-0861
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/09/2007
Last updated
12/06/2007
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