Organization · Type 2 NPI
Lavista Operating Company LLC
Adult Care Home Facility · Tucker, GA
NPI number
1972053296
Active
Practice location
3884 Lavista Rd
Tucker, GA 30084-5199
Mailing address
5300 W Sam Houston Pkwy N, Suite 100
Houston, TX 77041-5161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: 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.
Another provider at this address
Other adult care home facility providers in Tucker
About NPI 1972053296
Lavista Operating Company LLC's National Provider Identifier is 1972053296, issued on Oct 11, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tucker, GA. The record was last updated on Oct 11, 2016.