| Family Life Care, Inc. | |
|
406 Ohio Ave S Live Oak FL 32064-3218 | |
| (386) 364-5515 | |
| (386) 364-5648 |
| Full Name | Family Life Care, Inc. |
|---|---|
| Speciality | Home Health |
| Location | 406 Ohio Ave S, Live Oak, Florida |
| Authorized Official Name and Position | David Mcmullen (CEO) |
| Authorized Official Contact | 9045791581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Care, Inc. 555 Wells Rd Orange Park FL 32073-2923 Ph: (904) 579-1581 | Family Life Care, Inc. 406 Ohio Ave S Live Oak FL 32064-3218 Ph: (386) 364-5515 |
| NPI Number | 1750934659 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750934659 | NPI | - | NPPES |
| 009916900 | Medicaid | FL | |
| 299992645 | Other | FL | HOME HEALTH AGENCY LICENSE |
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