| Family Life Care Inc | |
|
555 Wells Rd Orange Park FL 32073-2923 | |
| (904) 529-7072 | |
| (904) 529-7056 |
| Full Name | Family Life Care Inc |
|---|---|
| Speciality | Home Health |
| Location | 555 Wells Rd, Orange Park, Florida |
| Authorized Official Name and Position | David Mcmullen (CEO) |
| Authorized Official Contact | 9045791581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Care Inc 555 Wells Rd Orange Park FL 32073-2923 Ph: (904) 529-7072 | Family Life Care Inc 555 Wells Rd Orange Park FL 32073-2923 Ph: (904) 529-7072 |
| NPI Number | 1295388213 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 4587757703 |
|---|---|
| Medicare Enrollment ID | O20200218001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295388213 | NPI | - | NPPES |
| 299994651 | Other | FL | HOME HEALTH AGENCY LICENSE |
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