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Organization

EAGLES NEST OF LOVE LLC

Active
Other names
Forever Young Companion Agency
Organization subpart
No

Provider details

NPI number
Authorized official
ZARANDA YOUNG (ADMINISTRATOR)
(813) 815-4776
Entity
Organization

Contact information

Practice address
11545 BALINTORE DR, RIVERVIEW, FL 33579-3918
(813) 815-4776
Mailing address
3848 SUN CITY CENTER BLVD # 104-49, SUN CITY CENTER, FL 33573-6843
(813) 815-4776

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
Primary
376J00000X
Homemaker

Other

Enumeration date
11/06/2019
Last updated
12/13/2022
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