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NPI Code Detail

MEDICARE: FAMILY 1ST PERSONAL HOME CARE LLC

MEDICARE: FAMILY 1ST PERSONAL HOME CARE LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1043713738
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY 1ST PERSONAL HOME CARE LLC
Provider Business Mailing Address
First Line : 125 WREN ST
Second Line :
City : EAST TAUNTON
State : MA
Zip : 02718-1079
Country : US
Telephone Number : 774-294-1396
Fax Number :
Provider Business Practice Location Address
First Line : 125 WREN ST
Second Line :
City : EAST TAUNTON
State : MA
Zip : 02718-1079
Country : US
Telephone Number : 774-294-1396
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : RONALD DEVEGA
Credential :
Telephone Number : 774-294-1396
Provider Enumeration Date : 03/09/2018
Last Update Date : 03/09/2018

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Directions to “FAMILY 1ST PERSONAL HOME CARE LLC ” Practice Location

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