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Organization

FAMILY TYME LLC

Active
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Organization

FAMILY TYME LLC

Active
Other names
Preferred Care at Home of West Volusia
Organization subpart
No

Provider details

NPI number
Authorized official
PERRY LEE DAVIS (CFO/OWNER)
(386) 320-2467
Entity
Organization

Contact information

Practice address
960 OAKWOOD RD, ORANGE CITY, FL 32763-5028
(386) 218-0402
(386) 456-4974
Mailing address
960 OAKWOOD RD, ORANGE CITY, FL 32763-5028
(386) 218-0402
(386) 456-4974

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
—
NULL
172A00000X
Driver
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
NULL

Other

Enumeration date
12/31/2019
Last updated
05/05/2022
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