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NPI 1700740156

NPI 1700740156 : DREAM FAMILY HOME CARE, LLC : MIDWAY, FL

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General NPI Number Information
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    NPI Number           |    1700740156
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREAM FAMILY HOME CARE, LLC 
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Dates
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    Enumeration Date     |    12/10/2025
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    13 MONROE CREEK DR 
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    City                 |    MIDWAY
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    State                |    FL
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    Zip                  |    32343-2212
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    Country              |    US
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    Telephone            |    850-570-6551
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13 MONROE CREEK DR 
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    City                 |    MIDWAY
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    State                |    FL
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    Zip                  |    32343-2212
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    Country              |    US
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    Telephone            |    850-570-6551
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. TANGELY  MAXWELL 
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    Credential           |    
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    Telephone            |    850-570-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD1600X
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    Taxonomy Name        |    Developmental Disabilities Clinic/Center
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    License Number       |    
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    License Number State |    
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