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 DIRECTOR)
(813) 850-0042
Entity
Organization
Contact information
Practice address
10 GLEN ED PROFESSIONAL PARK, GLEN CARBON, IL 62034-3333
(800) 853-5292
(855) 230-5482
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
09/19/2005
Last updated
05/07/2026
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