Healthcare Provider Details

I. General information

NPI: 1427567460
Provider Name (Legal Business Name): LIVING A LIFE OF LOVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 W OAKLAND PARK BLVD STE 220
OAKLAND PARK FL
33311-1350
US

IV. Provider business mailing address

2880 W OAKLAND PARK BLVD STE 220
OAKLAND PARK FL
33311-1350
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-1492
  • Fax:
Mailing address:
  • Phone: 786-553-1492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE BAPTISTE
Title or Position: OWNER
Credential:
Phone: 786-553-1492