# SPECTRUM FAMILY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336493550
- **Authorized official:** MRS. AMILA SMITH (OWNER)
- **Authorized official phone:** (229) 412-8866

## Contact information

- **Practice address:** 3403 BEMISS RD, SUITE C, VALDOSTA, GA 31605-7062
- **Practice address phone:** (229) 412-8866
- **Mailing address:** 61 BROOKFIELD DR, LAKELAND, GA 31635-5318
- **Mailing address phone:** (229) 232-7093
- **Mailing address fax:** (229) 253-0054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2012
- **Last updated:** 11/09/2012