Healthcare Provider Details

I. General information

NPI: 1548724958
Provider Name (Legal Business Name): FAMILY FIRST ADULT DAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 KIRK RD
YOUNGSTOWN OH
44511-1837
US

IV. Provider business mailing address

4199 KIRK RD
YOUNGSTOWN OH
44511-1837
US

V. Phone/Fax

Practice location:
  • Phone: 330-953-2704
  • Fax: 330-953-2744
Mailing address:
  • Phone: 330-953-2704
  • Fax: 330-953-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA VLOSICH
Title or Position: VICE PRESIDENT
Credential:
Phone: 330-719-8044