Provider Demographics
NPI:1952098204
Name:LAYA'S LOVING CARE LLC
Entity Type:Organization
Organization Name:LAYA'S LOVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIEL
Authorized Official - Middle Name:TANEE
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-600-8207
Mailing Address - Street 1:8179 CORAL VINE CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-6023
Mailing Address - Country:US
Mailing Address - Phone:904-600-8207
Mailing Address - Fax:
Practice Address - Street 1:8179 CORAL VINE CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-6023
Practice Address - Country:US
Practice Address - Phone:904-600-8207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities