Healthcare Provider Details
I. General information
NPI: 1417496662
Provider Name (Legal Business Name): LOVES SITTING AND SERVICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2017
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
633 AL HIGHWAY 60
AKRON AL
35441-2603
US
IV. Provider business mailing address
633 AL HIGHWAY 60
AKRON AL
35441-2603
US
V. Phone/Fax
- Phone: 334-507-4114
- Fax: 334-624-1505
- Phone: 334-507-4114
- Fax: 334-624-1505
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 608816 |
| License Number State | AL |
VIII. Authorized Official
Name:
LOVETTA
LONG
Title or Position: CEO
Credential:
Phone: 334-507-2368