ALTCEW is one of thirteen Area Agencies on Aging that contract with DSHS to provide in-home care and community based services in Washington State. We serve seniors and vulnerable adults with chronic illnesses or disabilities. Aging and long term care services support caregivers. Home delivered meals and transportation are just a few of the senior services that enhance the quality of an individual’s life. Services allow people the opportunity to live in the least restrictive environment possible. ALTCEW, Public Service Area #11 (PSA #11), serves northern Ferry, Pend Oreille, Spokane, Stevens, and Whitman counties. If you are looking for opportunities to volunteer, be trained to work as an individual provider, find support when caring for a loved one, in-home care, this website is the place to start.