Organization
FAMILY LIFE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCMULLEN (CEO)
(904) 579-1581
Entity
Organization
Contact information
Practice address
4061 NW 43RD ST STE 10, GAINESVILLE, FL 32606-4538
(352) 692-2899
(352) 374-4409
Mailing address
555 WELLS RD, ORANGE PARK, FL 32073-2923
(904) 579-1581
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009653800
—
FL
01
—
30211029
NURSE REGISTRY
FL
Enumeration date
10/12/2005
Last updated
07/20/2020
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