Healthcare Provider Details

I. General information

NPI: 1205295912
Provider Name (Legal Business Name): LOVING HANDS ADULT DAY CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4339 PINSON VALLEY PKWY
BIRMINGHAM AL
35215-8921
US

IV. Provider business mailing address

4339 PINSON VALLEY PKWY
BIRMINGHAM AL
35215-8921
US

V. Phone/Fax

Practice location:
  • Phone: 205-637-3541
  • Fax:
Mailing address:
  • Phone: 205-637-3541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateAL

VIII. Authorized Official

Name: LAQUINTA COLLINS
Title or Position: CO-OWNER
Credential: MS, OT
Phone: 205-637-3541