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General NPI Number Information
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NPI Number | 1811254899
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Entity Type | Organization
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Legal Business Name | FAMILY HOME CARE GROUP, LLC
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 622 E WASHINGTON ST STE 200
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City | ORLANDO
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State | FL
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Zip | 32801-2966
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Country | US
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Telephone | 407-401-9146
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Fax | 407-517-4860
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Provider Business Mailing Address
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Address Line | 622 E WASHINGTON ST STE 200
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City | ORLANDO
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State | FL
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Zip | 32801-2966
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Country | US
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Telephone | 407-401-9146
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Fax | 407-517-4860
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | LEA F BALL
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Credential | RN
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Telephone | 407-401-9146
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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 | 299993988
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License Number State | FL
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