Organization
YOUR HOME ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKIA WILLIAMS ARNP (OWNER)
(407) 314-6599
Entity
Organization
Contact information
Practice address
2005 W AIRPORT BLVD, SANFORD, FL 32771-4035
(407) 314-6599
Mailing address
1672 KERSLEY CIR, LAKE MARY, FL 32746-1923
(407) 314-6599
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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