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General NPI Number Information
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NPI Number | 1548450141
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Entity Type | Organization
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Legal Business Name | FLORIDA FAMILY COMPANIONS, INC.
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 10491 HELEY ST
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City | SPRING HILL
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State | FL
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Zip | 34608-3729
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Country | US
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Telephone | 352-684-8791
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Fax | 352-684-8793
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Provider Business Mailing Address
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Address Line | 10491 HELEY ST
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City | SPRING HILL
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State | FL
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Zip | 34608-3729
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Country | US
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Telephone | 352-684-8791
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Fax | 352-684-8793
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Authorized Official
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Title or Position | CEO
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Name | MR. KENNETH H. WILSON JR.
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Credential |
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Telephone | 352-684-8791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NR30211304
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License Number State | FL
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