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Organization
AVENUE SUPPORTIVE CARE, LLC
Active
Organization
AVENUE SUPPORTIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOLDIE LOZIER LOUIS (ADMINSTRATOR)
(954) 915-7478
Entity
Organization
Contact information
Practice address
6635 W COMMERCIAL BLVD STE 108, TAMARAC, FL 33319-2141
(954) 915-7478
(954) 337-2978
Mailing address
PO BOX 26222, TAMARAC, FL 33320-6222
(954) 915-7478
(954) 337-2978
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
311ZA0620X
Adult Care Home Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/05/2014
Last updated
01/31/2020
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