Lavoia Adult Family Care Home LLC
Custodial Care Facility, Adult Care Home in Ruskin, FL. Organization (NPI-2).
NPI number1336644160
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1336644160
- Entity type
- Organization (NPI-2)
- Legal business name
- Lavoia Adult Family Care Home LLC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2018
- Certification date
- Sep 15, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Other names
- Lavoia Ynette Taylor (Doing Business As)
Practice location
114 Smokey Hill AveRuskin, FL 33570-6326
Phone 941-465-5505 · Fax 813-773-7713
Mailing address
114 Smokey Hill AveRuskin, FL 33570-6326
Phone 941-465-5505 · Fax 813-773-7713
Authorized official
Lavoia Ynette Taylor
Owner/Admin
5617552841
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