First Choice is licensed by the Washington State Department of Health (DOH) and contracted with the Washington Department of Social and Health Services (DSHS) to provide non-medical personal care services to our population of developmentally disabled children and young adults as well as aging and elderly individuals. We provide services to both State funded and Private clients living in King, Pierce and Snohomish counties. We are one of the largest In-Home Care Agencies in Washington State and manage the care of over 1,800 individuals annually and employ over 1,500 health care professionals throughout our service area.