Provider Demographics
NPI:1548663495
Name:MID-COAST FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:MID-COAST FAMILY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-575-7842
Mailing Address - Street 1:120 S MAIN ST STE 310
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-8144
Mailing Address - Country:US
Mailing Address - Phone:361-575-7780
Mailing Address - Fax:361-575-8218
Practice Address - Street 1:120 S MAIN ST STE 310
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-8144
Practice Address - Country:US
Practice Address - Phone:361-575-7780
Practice Address - Fax:361-575-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management