# FL FALCON HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FL FALCON HOME CARE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508372475
- **Authorized official:** MRS. WAVENEY WILLIAMS CEO (ADMINISTRATOR)
- **Authorized official phone:** (813) 446-0162

## Contact information

- **Practice address:** 3706 W IDLEWILD CIR APT 203, TAMPA, FL 33614-5754
- **Practice address phone:** (800) 557-3173
- **Practice address fax:** (813) 348-2993
- **Mailing address:** 3706 W IDLEWILD CIR APT 203, TAMPA, FL 33614-5754
- **Mailing address phone:** (800) 557-3173
- **Mailing address fax:** (813) 348-2993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 234950 | FL | — |
| 311500000X | Alzheimer Center (Dementia Center) | 234950 | FL | — |
| 372600000X | Adult Companion | 234950 | FL | Yes |
| 376J00000X | Homemaker | 234950 | FL | — |
| 385H00000X | Respite Care | — | FL | — |

## Other

- **Enumeration date:** 12/14/2017
- **Last updated:** 12/19/2017