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Organization
FAMILY HOME CARE LLC
Active
Organization
FAMILY HOME CARE LLC
Active
Other names
Family Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY WIBERG (CEO)
(509) 755-4954
Entity
Organization
Contact information
Practice address
1716 N UNION RD, SPOKANE VALLEY, WA 99206-4834
(509) 473-4949
(509) 921-0527
Mailing address
22820 E APPLEWAY AVE STE B, LIBERTY LAKE, WA 99019-9514
(509) 795-5501
(509) 755-4974
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
IHS.FS.60333309
WA
253Z00000X
In Home Supportive Care Agency
Primary
IHS.FS.60333309
WA
Other
Enumeration date
01/06/2015
Last updated
02/23/2017
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