Organization
FOREST FAMILY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN U MOORE (OWNER)
(276) 228-6499
Entity
Organization
Contact information
Practice address
1785 W LEE HWY, WYTHEVILLE, VA 24382
(276) 228-3355
Mailing address
PO BOX 662, WYTHEVILLE, VA 24382-0662
(276) 228-6499
(276) 228-6145
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101045977
VA
Other
Enumeration date
09/15/2009
Last updated
11/01/2017
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