Organization
FAMILY LIFE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERICK R TORO (PRESIDENT)
(305) 779-1068
Entity
Organization
Contact information
Practice address
17680 NW 78TH AVE STE 105, HIALEAH, FL 33015-3667
(305) 779-1068
(305) 779-1067
Mailing address
17680 NW 78TH AVE STE 105, HIALEAH, FL 33015-3667
(305) 779-1068
(305) 779-1067
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007211400
—
FL
05
—
010923900
—
FL
Enumeration date
07/21/2014
Last updated
11/15/2021
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