# FLORIDA COMMUNITY HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1649906330
- **Authorized official:** MONIDA VANTHA (VP)
- **Authorized official phone:** (267) 262-3929

## Contact information

- **Practice address:** 172 MCCOY DR, LAKE PLACID, FL 33852-9552
- **Practice address phone:** (267) 262-3929
- **Mailing address:** 414 DERBY WAY, WILMINGTON, DE 19810-2266
- **Mailing address phone:** (267) 262-3929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 07/26/2022
- **Last updated:** 07/26/2022