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Organization

FAMILY 1ST SENIOR CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY L BAYLESS (OWNER/CEO)
(888) 823-9035
Entity
Organization

Contact information

Practice address
55460 BRIAN ST, POWHATAN POINT, OH 43942-9755
(888) 823-9035
Mailing address
PO BOX 11, POWHATAN POINT, OH 43942-0011
(888) 823-9035

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2055010
OHIO SECRETARY OF STATE
OH
01
99ST6
WEST VIRGINIA SECRETARY OF STATE
WV
Enumeration date
01/09/2013
Last updated
01/09/2013
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