Provider Demographics
NPI:1629630843
Name:FAMILY & LOVE FIRST HOMECARE LLC
Entity Type:Organization
Organization Name:FAMILY & LOVE FIRST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANION & HOMEMAKER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-697-4194
Mailing Address - Street 1:361 NE MARTIN LUTHER KING ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32055-2118
Mailing Address - Country:US
Mailing Address - Phone:386-697-4194
Mailing Address - Fax:
Practice Address - Street 1:361 NE MARTIN LUTHER KING ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-2118
Practice Address - Country:US
Practice Address - Phone:386-697-4194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty