OrganizationActive
We Care Lifesource, Inc
NPI 1750540456 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Plant City, FL
Provider details
- NPI number
- 1750540456
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lavonda Hargrove, President(813) 766-0863
- License
- 320900000X (FL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 320900000X (FL)
Residential Treatment Facilities
Practice location
1004 E Dr Martin Luther King Jr Blvd
Plant City, FL 33563-5712
Phone: (813) 766-0863
Approximate (ZIP-level) locationGet directions
Mailing address
1004 E Dr Martin Luther King Jr Blvd
Plant City, FL 33563-5712
Registry dates
- Enumerated
- 2008-06-06
- Last updated
- 2008-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.