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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