Healthcare Provider Details

I. General information

NPI: 1508241365
Provider Name (Legal Business Name): LOVE SITTING AND SERVICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 ALA HWY 60
ARKON AL
35441
US

IV. Provider business mailing address

33 ALA HWY 60
ARKON AL
35441
US

V. Phone/Fax

Practice location:
  • Phone: 334-507-2368
  • Fax:
Mailing address:
  • Phone: 334-507-2368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number607096
License Number StateAL

VIII. Authorized Official

Name: MRS. LOVETTA LONG
Title or Position: OWNER
Credential:
Phone: 334-507-2368