Organization
MCLANE BRIAN, LLC
Active
Organization
MCLANE BRIAN, LLC
Active
Other names
Family First Homecare of Southern Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA DE JESUS (CREDENTIALING SPECIALIST)
(813) 850-0042
Entity
Organization
Contact information
Practice address
1999 WABASH AVE STE 213, SPRINGFIELD, IL 62704-5368
(008) 853-5292
(855) 830-5482
Mailing address
2203 N LOIS AVE STE 700, TAMPA, FL 33607-2387
(813) 850-0042
(813) 850-0043
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
05/07/2026
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