Provider Profile
FOREVER LANI INFINITE CARE SERVICES LLC
Homemaker and Companion Service
FACILITY PROFILE
Street Address
- 4830 NE 3RD PL
GAINESVILLE, FL 32641
County: Alachua - Phone: (904) 796-2164
Mailing Address
- 4830 NE 3RD PL
GAINESVILLE, FL 32641
County: Alachua - Phone: (904) 796-2164
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Facility Information:
| Facility/Provider Type: | Homemaker and Companion Service | ||||||
| Administrator: | MONIQUE L MILES | ||||||
| Financial Officer: | MONIQUE L MILES | ||||||
| Owner/Licensee: | FOREVER LANI INFINITE CARE SERVICES LLC | ||||||
| Owner/Licensee Since: | 11/7/2024 | ||||||
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| Profit Status: | For-Profit | ||||||
| Licensed Beds: | Not Available | ||||||
| AHCA Number (File Number): | 39977284 | ||||||
| AHCA Field Office: | 03 | ||||||
| License Number: | 240466 | ||||||
| Current License Effective: | 2/11/2025 | ||||||
| Current License Expires: | 2/10/2027 | ||||||
| License Status: | REGISTERED | ||||||
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Services/Characteristics
| Service Area: | Alachua |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.