Organization
FAMILY SOARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELA DILLARD (CEO)
(727) 564-7769
Entity
Organization
Contact information
Practice address
10800 BRIGHTON BAY BLVD NE, SAINT PETERSBURG, FL 33716-3478
(727) 564-7769
(727) 800-5144
Mailing address
10800 BRIGHTON BAY BLVD NE, SAINT PETERSBURG, FL 33716-3478
(727) 564-7769
(727) 800-5144
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
7304
FL
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/23/2018
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