# PLAN LIFE CARE LLC

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

## Provider details

- **NPI number:** 1477089597
- **Authorized official:** ANTHONY FRANK WILLIAM FORD (OWNER)
- **Authorized official phone:** (386) 986-1920

## Contact information

- **Practice address:** 601 INNOVATION WAY, DAYTONA BEACH, FL 32114
- **Practice address phone:** (386) 968-1920
- **Practice address fax:** (954) 900-1630
- **Mailing address:** 601 INNOVATION WAY, DAYTONA BEACH, FL 32114-3865
- **Mailing address phone:** (386) 968-1920
- **Mailing address fax:** (954) 900-1630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299994708 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 234761 | FL | — |
| 253Z00000X | In Home Supportive Care Agency | 299994708 | FL | Yes |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 07/13/2018
