Organization · Type 2 NPI
Your Home Assisted Living LLC
Long-Term Care Clinical Nurse Specialist · Sanford, FL
NPI number
1073489159
Active
Practice location
2005 W Airport Blvd
Sanford, FL 32771-4035
Mailing address
1672 Kersley Cir
Lake Mary, FL 32746-1923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long-Term Care Clinical Nurse Specialist Primary | 364SL0600X | None listed |
Long-Term Care Clinical Nurse Specialist: Definition to come...
About NPI 1073489159
Your Home Assisted Living LLC's National Provider Identifier is 1073489159, issued on Oct 15, 2025. The primary taxonomy on file is Long-Term Care Clinical Nurse Specialist (364SL0600X), and the practice location is in Sanford, FL. The record was last updated on Oct 15, 2025.