# MAYMONT SENIOR ADVOCATE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maymont Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083303390
- **Authorized official:** NICHOLE BLAKE-LITTLE RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (352) 888-7654

## Contact information

- **Practice address:** 387 W ALFRED ST, TAVARES, FL 32778-3270
- **Practice address phone:** (352) 888-7654
- **Practice address fax:** (352) 663-8838
- **Mailing address:** 2578 LIMERICK CIR, GRAND ISLAND, FL 32735-9006
- **Mailing address phone:** (352) 888-7654
- **Mailing address fax:** (352) 663-8838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2023
- **Last updated:** 07/10/2026