Provider Demographics
NPI:1134518749
Name:FAMILY FIRST SENIOR CARE
Entity type:Organization
Organization Name:FAMILY FIRST SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:509-326-5525
Mailing Address - Street 1:22809 E COUNTRY VISTA DR
Mailing Address - Street 2:APT 319
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7578
Mailing Address - Country:US
Mailing Address - Phone:509-326-5525
Mailing Address - Fax:
Practice Address - Street 1:521 N ARGONNE RD
Practice Address - Street 2:BLDG B STE 103
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2868
Practice Address - Country:US
Practice Address - Phone:509-326-5525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAT12050651BUS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management