Organization
PLAN LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FRANK WILLIAM FORD (OWNER)
(386) 986-1920
Entity
Organization
Contact information
Practice address
601 INNOVATION WAY, DAYTONA BEACH, FL 32114
(386) 968-1920
(954) 900-1630
Mailing address
601 INNOVATION WAY, DAYTONA BEACH, FL 32114-3865
(386) 968-1920
(954) 900-1630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299994708
FL
253Z00000X
In Home Supportive Care Agency
234761
FL
253Z00000X
In Home Supportive Care Agency
Primary
299994708
FL
Other
Enumeration date
05/10/2017
Last updated
07/13/2018
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