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General NPI Number Information
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NPI Number | 1174490387
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Entity Type | Organization
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Legal Business Name | FLAGLER CARE HOMES LLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 58 UNDERSHIRE PATH
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City | PALM COAST
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State | FL
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Zip | 32164-5724
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Country | US
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Telephone | 904-415-3085
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Fax | 386-225-4810
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Provider Business Mailing Address
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Address Line | 58 UNDERSHIRE PATH
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City | PALM COAST
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State | FL
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Zip | 32164-5724
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Country | US
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Telephone | 904-415-3085
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Fax | 386-225-4810
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MERIEM EL MOUKI
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Credential |
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Telephone | 904-415-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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