MEDICARE: HEALTHY FAMILIES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253J00000X	Foster Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
4	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1265794507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY FAMILIES, INC

Provider Business Mailing Address
First Line	:	4715 LANGDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-2081
Country	:	US
Telephone Number	:	407-683-6083
Fax Number	:	407-730-4810

Provider Business Practice Location Address
First Line	:	4715 LANGDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-2081
Country	:	US
Telephone Number	:	407-683-6083
Fax Number	:	407-730-4810

Authorized Official
Title or Position	:	CEO
Name	:	MS. DOMINIQUE MATHURIN
Credential	:	M.S.
Telephone Number	:	407-683-6083

Provider Enumeration Date	:	06/12/2012
Last Update Date	:	06/12/2012

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Directions to “HEALTHY FAMILIES, INC ” Practice Location

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