Organization
U.A.N.A'S LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'QUISHA JOHNSON (OWNER)
(352) 256-6789
Entity
Organization
Contact information
Practice address
1105 FORT CLARKE BLVD APT 320, GAINESVILLE, FL 32606-7123
(352) 256-6789
Mailing address
1105 FORT CLARKE BLVD APT 320, GAINESVILLE, FL 32606-7123
(352) 256-6789
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108740400
—
FL
Enumeration date
08/11/2021
Last updated
08/11/2021
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