Organization
LOVELY HOME ALF, LLC
Active
Other names
ASSISTED L IVING FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TENESCA DELVA (ADMINISTRATOR)
(321) 543-4189
Entity
Organization
Contact information
Practice address
1246 HARLINGEN RD SW, PALM BAY, FL 32908-7146
(321) 543-4189
(321) 327-3698
Mailing address
1246 HARLINGEN RD SW, PALM BAY, FL 32908-7146
(321) 543-4189
(321) 327-3698
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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