Provider Demographics
NPI:1093389371
Name:FAMILY WITH FAMILY LLC
Entity Type:Organization
Organization Name:FAMILY WITH FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIAISHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-783-1773
Mailing Address - Street 1:6835 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-2417
Mailing Address - Country:US
Mailing Address - Phone:314-254-0091
Mailing Address - Fax:314-786-0565
Practice Address - Street 1:6835 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63130-2417
Practice Address - Country:US
Practice Address - Phone:314-783-1773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health