Organization
FAMILY LIFE CARE, INC.
Active
Parent organization
FAMILY LIFE CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY LIFE CARE, INC.
Authorized official
DAVID MCMULLEN (CEO)
(904) 579-1581
Entity
Organization
Contact information
Practice address
555 WELLS RD, ORANGE PARK, FL 32073-2923
(904) 529-7072
Mailing address
555 WELLS RD, ORANGE PARK, FL 32073-2923
(904) 579-1581
(904) 375-1673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211175
NURSE REGISTRY LICENSE
FL
05
—
687641200
—
FL
Enumeration date
07/11/2019
Last updated
07/20/2020
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