Provider Demographics
NPI:1750537528
Name:FAMILY ENRICHMENT PROGRAM SERVICES INC
Entity type:Organization
Organization Name:FAMILY ENRICHMENT PROGRAM SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-622-4039
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:PEACHLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28133-0233
Mailing Address - Country:US
Mailing Address - Phone:704-622-4039
Mailing Address - Fax:
Practice Address - Street 1:57 SOUTH CLINTON AVE
Practice Address - Street 2:
Practice Address - City:PEACHLAND
Practice Address - State:NC
Practice Address - Zip Code:28133
Practice Address - Country:US
Practice Address - Phone:704-622-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility