Provider Demographics
NPI:1164857306
Name:LHC SKILLED CORP.
Entity Type:Organization
Organization Name:LHC SKILLED CORP.
Other - Org Name:ABSOLUTELY LEVIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:G
Authorized Official - Last Name:DELLARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-274-4149
Mailing Address - Street 1:2975B W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3502
Mailing Address - Country:US
Mailing Address - Phone:954-406-9616
Mailing Address - Fax:561-450-1458
Practice Address - Street 1:2975B W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3502
Practice Address - Country:US
Practice Address - Phone:954-406-9616
Practice Address - Fax:561-450-1458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994176251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health