Provider Demographics
NPI:1245853530
Name:FAMILY TREE LIVING ASSISTANCE INC
Entity type:Organization
Organization Name:FAMILY TREE LIVING ASSISTANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TROUTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-259-3390
Mailing Address - Street 1:132 DORCHESTER SQ S STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7400
Mailing Address - Country:US
Mailing Address - Phone:614-259-3390
Mailing Address - Fax:614-259-3397
Practice Address - Street 1:132 DORCHESTER SQ S STE 200
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-7400
Practice Address - Country:US
Practice Address - Phone:614-259-3390
Practice Address - Fax:614-259-3397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health