MEDICARE: FAMILIESFIRST, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1730234808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIESFIRST, INC.

Provider Business Mailing Address
First Line	:	5710 E GETTYSBURG AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-7210
Country	:	US
Telephone Number	:	559-281-3687
Fax Number	:

Provider Business Practice Location Address
First Line	:	5710 E GETTYSBURG AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-7210
Country	:	US
Telephone Number	:	559-281-3687
Fax Number	:

Authorized Official
Title or Position	:	MTFC PROGRAM SUPERVISOR
Name	:	MS. MONICA MARIA RIOS
Credential	:	M.S.
Telephone Number	:	559-281-3687

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/11/2008

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Directions to “FAMILIESFIRST, INC. ” Practice Location

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