Provider Demographics
NPI:1770327553
Name:LE JOUR HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:LE JOUR HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:PAVRETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-944-9033
Mailing Address - Street 1:13060 WILLOW GROVE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-6876
Mailing Address - Country:US
Mailing Address - Phone:813-944-9033
Mailing Address - Fax:
Practice Address - Street 1:104 E FOWLER AVE STE 209
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5249
Practice Address - Country:US
Practice Address - Phone:813-944-9033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health