Organization
LAVIE ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAVEN SYMONE JACKSON (CEO)
(850) 274-5150
Entity
Organization
Contact information
Practice address
2529 PREST CT, TALLAHASSEE, FL 32301-0800
(850) 274-5150
Mailing address
1969 S ALAFAYA TRL # 140, ORLANDO, FL 32828-8732
(850) 274-5150
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2021
Last updated
07/10/2021
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