# FAMILY HOME CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275536757
- **Authorized official:** MR. JEFFREY R KOLCUM CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (509) 473-4900

## Contact information

- **Practice address:** 22820 E APPLEWAY, LIBERTY LAKE, WA 99019-9514
- **Practice address phone:** (509) 473-4900
- **Practice address fax:** (509) 755-4974
- **Mailing address:** 22820 E APPLEWAY, LIBERTY LAKE, WA 99019-9514
- **Mailing address phone:** (509) 473-4900
- **Mailing address fax:** (509) 755-4974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | IS280 | WA | Yes |
| 251E00000X | Home Health Agency | IS281 | WA | — |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 01/19/2009