Organization
FAMILY QUALITY CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LASSITER (OWNER/MANAGER)
(919) 237-2225
Entity
Organization
Contact information
Practice address
1812 LIBERTY ST, DURHAM, NC 27703-2271
(919) 237-2225
(919) 237-2226
Mailing address
2154 SUTTON HOOTEN LN, LA GRANGE, NC 28551-8252
(252) 566-3298
(252) 566-2829
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10448
MEDICAL LICENSE
NC
Enumeration date
04/23/2010
Last updated
04/23/2010
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