# FIRST FAMILY TRUST HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First Family Trust Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982097358
- **Authorized official:** MR. DANIEL IKHIDE IMOESIRI SR. (PRESIDENT/C.E.O.)
- **Authorized official phone:** (818) 629-8678

## Contact information

- **Practice address:** 18926 WYANDOTTE ST, RESEDA, CA 91335-2658
- **Practice address phone:** (818) 578-6405
- **Practice address fax:** (818) 578-6405
- **Mailing address:** PO BOX 572362, TARZANA, CA 91357-2362
- **Mailing address phone:** (818) 629-8678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 197608906 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2015
- **Last updated:** 03/10/2015