OrganizationActive
Your Home Assisted Living LLC
NPI 1073489159 · Long-Term Care Clinical Nurse Specialist · Sanford, FL
Provider details
- NPI number
- 1073489159
- Entity type
- Organization
- Primary specialty
- Long-Term Care Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nikia Williams, Owner(407) 314-6599
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2005 W Airport Blvd
Sanford, FL 32771-4035
Phone: (407) 314-6599
Approximate (ZIP-level) locationGet directions
Mailing address
1672 Kersley Cir
Lake Mary, FL 32746-1923
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.