Healthcare Provider Details

I. General information

NPI: 1730083601
Provider Name (Legal Business Name): FAMILY FIRST CARE COORDINATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1869 MAPLEGROVE DR
TWINSBURG OH
44087-1953
US

IV. Provider business mailing address

1869 MAPLEGROVE DR
TWINSBURG OH
44087-1953
US

V. Phone/Fax

Practice location:
  • Phone: 330-217-8716
  • Fax:
Mailing address:
  • Phone: 330-217-8716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LARITA JOLLY
Title or Position: OWNER/MANAGING MEMBER
Credential: RN
Phone: 330-217-8716