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Organization
FAMILY FIRST GROUP HOME LLC
Active
Organization
FAMILY FIRST GROUP HOME LLC
Active
Other names
Family First Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GRACE NICHOLS (OWNER/ADMINISTRATOR)
(813) 400-8646
Entity
Organization
Contact information
Practice address
5230 17TH AVE N FL 33710, ST PETERSBURG, FL 33710-5102
(813) 400-8646
(813) 870-4000
Mailing address
5230 17TH AVE N FL 33710, ST PETERSBURG, FL 33710-5102
(813) 400-8646
(813) 870-4000
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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