Organization Name: | LOUISE IRVING |
NPI Number: | 1346617412 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUISE IRVING (OWNER) |
Mailing Address: | 4561 Sw 36th St West Park |
State: | FL US |
Postal Code: | 330235511 |
Phone Number: | 9545549688 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3104A0630X |
License Number: | AL11007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | Assisted Living, Behavioral Disturbances |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |