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Lavista Operating Company Llc
Adult Care Home Facility in Tucker, Georgia
NPI 1972053296

Lavista Operating Company Llc is an Adult Care Home Facility based in Houston, GA and is specialized in Adult Care Home. Lavista Operating Company Llc practices in Tucker, GA. The NPI Number for Lavista Operating Company Llc is 1972053296 and holds a License No. (Georgia).

The current practice location address for Lavista Operating Company Llc is 3884 Lavista Rd, Tucker, GA and can be reached out via phone at 770-938-7260.

Location: 3884 Lavista Rd, Tucker, GA, 77041-5161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972053296
Provider Name
Lavista Operating Company Llc
Credential
Provider Entity Type
Organization
Address
3884 Lavista Rd, Tucker, GA, 77041-5161
Phone Number
770-938-7260
Fax Number
Provider Enumeration Date
10/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3884 Lavista Rd
City
Tucker
State
Georgia
Zip
30084-5199
Phone Number
770-938-7260
Fax Number
person
Provider Business Mailing Address Details
Address
3884 Lavista Rd
City
Tucker
State
Georgia
Zip
30084-5199
Phone Number
770-938-7260
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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