# FAMILY LIFE CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY LIFE CARE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174175509
- **Legal business name:** FAMILY LIFE CARE, INC.
- **Authorized official:** DAVID MCMULLEN (CEO)
- **Authorized official phone:** (904) 579-1581

## Contact information

- **Practice address:** 216 S APOPKA AVE STE B, INVERNESS, FL 34452-4845
- **Practice address phone:** (352) 344-5228
- **Practice address fax:** (352) 344-0894
- **Mailing address:** 555 WELLS RD, ORANGE PARK, FL 32073-2923
- **Mailing address phone:** (904) 579-1582
- **Mailing address fax:** (904) 375-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/16/2019
- **Last updated:** 07/20/2020
