Organization
PROFESSIONAL FAMILY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENSON OTOVO MBA (EXECUTIVE DIRECTOR)
(910) 485-0085
Entity
Organization
Contact information
Practice address
1016 PATRICK DR, FAYETTEVILLE, NC 28314-5921
(910) 487-9868
Mailing address
PO BOX 35150, FAYETTEVILLE, NC 28303-0150
(910) 485-0085
(910) 485-0334
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL026698
NC
Other
Enumeration date
03/15/2007
Last updated
12/19/2022
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