Organization
A LOVING LIFE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZULEMA MIRIAM DAVALOS (PRESIDENT)
(954) 900-5971
Entity
Organization
Contact information
Practice address
1920 NW 111TH TER, PEMBROKE PINES, FL 33026-2284
(954) 900-5971
(954) 606-0323
Mailing address
3500 N STATE ROAD 7, SUITE# 213, LAUDERDALE LAKES, FL 33319-5600
(954) 900-5971
(954) 606-0323
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
013702800
FL
251E00000X
Home Health Agency
Primary
013703600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013702800
DEVELOPMENTAL DISABILITY WAIVER PROGRAM
FL
05
—
013703600
—
FL
Enumeration date
01/29/2015
Last updated
01/29/2015
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