Healthcare Provider Details

I. General information

NPI: 1396497772
Provider Name (Legal Business Name): LOVELY ADULT DAY CARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PERLMAN DR STE 301
SPRING VALLEY NY
10977-5230
US

IV. Provider business mailing address

2 PERLMAN DR STE 301
SPRING VALLEY NY
10977-5230
US

V. Phone/Fax

Practice location:
  • Phone: 845-793-9497
  • Fax: 845-352-1045
Mailing address:
  • Phone: 845-793-9497
  • Fax: 845-352-1045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. LOVELY JEUDY-PIERRE
Title or Position: DIRECTOR OF PATIENTS' SERVICES
Credential: RN
Phone: 646-818-5428