Healthcare Provider Details

I. General information

NPI: 1376971119
Provider Name (Legal Business Name): L&V SWEET HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2013
Last Update Date: 10/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 FINLAND DR
SPRING HILL FL
34609-3833
US

IV. Provider business mailing address

9380 VANCOUVER RD
SPRING HILL FL
34608-6566
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-9653
  • Fax: 352-835-7310
Mailing address:
  • Phone: 352-688-9653
  • Fax: 352-835-7310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL11286
License Number StateFL

VIII. Authorized Official

Name: MR. LARRY LEWIS
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 352-688-9653