Organization
EAGLES NEST OF LOVE LLC
Active
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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