Organization
FAMILY HOME CARE CORPORATION
Active
Parent organization
FAMILY HOME CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HOME CARE CORPORATION
Authorized official
MRS. MICHELLE A WILSON (BILLING SUPERVISOR)
(509) 755-4904
Entity
Organization
Contact information
Practice address
22820 E APPLEWAY, LIBERTY LAKE, WA 99019-9514
(509) 473-4900
(509) 755-4987
Mailing address
22820 E APPLEWAY, LIBERTY LAKE, WA 99019-9514
(509) 473-4900
(509) 755-4987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147269
L&I
WA
01
—
1128
PREMERA BLUE CROSS
WA
01
—
23173
GROUP HEALTH
WA
05
—
7330095
—
WA
05
—
7408065
—
WA
05
—
783884
—
WA
05
—
9050949
—
WA
05
—
9052200
—
WA
05
—
9055120
—
WA
Enumeration date
06/25/2007
Last updated
10/23/2008
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