Organization
CAREING FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIE TIDWELL (OWNER)
(863) 595-6212
Entity
Organization
Contact information
Practice address
5032 RIVER LAKE RD, WINTER HAVEN, FL 33884-2951
(863) 595-6212
Mailing address
5032 RIVER LAKE RD, WINTER HAVEN, FL 33884-2951
(863) 595-6212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104129000
—
FL
01
—
238658
AHCA/LICENSE
FL
01
—
32969
AHCA/CERTIFICATE
FL
Enumeration date
02/14/2022
Last updated
07/13/2023
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