# FAMILY CARE NURSES REG LLC

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

## Provider details

- **NPI number:** 1558663161
- **Authorized official:** MRS. CARMEN IULDA JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (561) 686-4552

## Contact information

- **Practice address:** 4047 OKEECHOBEE BLVD, \#124, WEST PALM BCH, FL 33409
- **Practice address phone:** (561) 686-4552
- **Practice address fax:** (561) 686-4528
- **Mailing address:** 4047 OKEECHOBEE BLVD, \#124, WEST PALM BCH, FL 33409
- **Mailing address phone:** (561) 686-4552
- **Mailing address fax:** (561) 686-4528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 376K00000X | Nurse's Aide | 30211111 | FL | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 12/02/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 683964996 | — | FL |