Organization Name: | LOVE SENIORS HOME INC |
NPI Number: | 1033528716 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTINA T REED (ADMINISTRATOR) |
Mailing Address: | 460 Sail Lane Merritt Island |
State: | FL US |
Postal Code: | 32953 |
Phone Number: | 3213049590 |
Fax Number: | 3213382910 |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |