Organization
FAFALISHOUSE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH FRANCIQUE (OWNER)
(754) 221-7236
Entity
Organization
Contact information
Practice address
3809 LANCOVE WAY, FORT PIERCE, FL 34981-4704
(754) 221-7236
Mailing address
3809 LANCOVE WAY, FORT PIERCE, FL 34981-4704
(754) 221-7236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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