# FAMILY TYME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Care at Home of West Volusia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871132373
- **Authorized official:** PERRY LEE DAVIS (CFO/OWNER)
- **Authorized official phone:** (386) 320-2467

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/31/2019
- **Last updated:** 05/05/2022