# ADDIE'S ADULT FAMILY CARE

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

## Provider details

- **NPI number:** 1982017497
- **Authorized official:** MS. MICHELE CELESTINE JAMES (ADMISTRATOR)
- **Authorized official phone:** (813) 778-2845

## Contact information

- **Practice address:** 7608 COPELAND RD, ODESSA, FL 33556-3205
- **Practice address phone:** (813) 778-8245
- **Mailing address:** 7608 COPELAND RD, ODESSA, FL 33556-3205
- **Mailing address phone:** (813) 778-8245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906678 | FL | Yes |
| 372600000X | Adult Companion | 234669 | FL | — |
| 376J00000X | Homemaker | 234669 | FL | — |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 01/20/2017