Organization
LOUISE IRVING
Active
Other names
Irvings Place of Loving Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE IRVING (OWNER)
(954) 554-9688
Entity
Organization
Contact information
Practice address
4561 SW 36TH ST, WEST PARK, FL 33023-5511
(954) 554-9688
Mailing address
4561 SW 36TH ST, WEST PARK, FL 33023-5511
(954) 554-9688
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
AL11007
FL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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