Provider Demographics
NPI:1285044156
Name:KYR TENDER CARE LLC
Entity Type:Organization
Organization Name:KYR TENDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMPERSAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-357-4911
Mailing Address - Street 1:429 E IDLEWILD AVE
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6450
Mailing Address - Country:US
Mailing Address - Phone:352-357-4911
Mailing Address - Fax:352-357-4911
Practice Address - Street 1:429 E IDLEWILD AVE
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6450
Practice Address - Country:US
Practice Address - Phone:352-357-4911
Practice Address - Fax:352-357-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11582310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility