Provider Demographics
NPI:1376830588
Name:FAMILY FIRST HOME SERVICES
Entity Type:Organization
Organization Name:FAMILY FIRST HOME SERVICES
Other - Org Name:BRANDY GARRETT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-333-1620
Mailing Address - Street 1:30 COUNTY HIGHWAY 523
Mailing Address - Street 2:
Mailing Address - City:CARUTHERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63830-8173
Mailing Address - Country:US
Mailing Address - Phone:573-333-0533
Mailing Address - Fax:573-333-1620
Practice Address - Street 1:30 COUNTY HIGHWAY 523
Practice Address - Street 2:
Practice Address - City:CARUTHERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63830-8173
Practice Address - Country:US
Practice Address - Phone:573-333-0533
Practice Address - Fax:573-333-1620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care