Healthcare Provider Details
I. General information
NPI: 1487487658
Provider Name (Legal Business Name): LOVE TO CARE ADULT SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2024
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1150 BLARNEY ST
MINNEOLA FL
34715-7634
US
IV. Provider business mailing address
1150 BLARNEY ST
MINNEOLA FL
34715-7634
US
V. Phone/Fax
- Phone: 352-702-6616
- Fax:
- Phone: 352-702-6616
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRANEKA
RASHELL
CAPLE
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 352-702-6616