MEDICARE: FAMILY FIRST SENIOR CARE

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	251B00000X	Case Management Agency	T12050651BUS	WA

General Provider Information

NPI Number	:	1134518749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FIRST SENIOR CARE

Provider Business Mailing Address
First Line	:	22809 E COUNTRY VISTA DR
Second Line	:	APT 319
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-7578
Country	:	US
Telephone Number	:	509-326-5525
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 N ARGONNE RD
Second Line	:	BLDG B STE 103
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2868
Country	:	US
Telephone Number	:	509-326-5525
Fax Number	:

Authorized Official
Title or Position	:	CARE MANAGER
Name	:	MEGAN WARD
Credential	:	LSW
Telephone Number	:	509-326-5525

Provider Enumeration Date	:	01/20/2015
Last Update Date	:	01/20/2015

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Directions to “FAMILY FIRST SENIOR CARE ” Practice Location

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