Provider Demographics
NPI:1184017725
Name:L AND L CARE SERVICES
Entity Type:Organization
Organization Name:L AND L CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LATREESE
Authorized Official - Middle Name:N
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-701-8204
Mailing Address - Street 1:5613 LA JOYA CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-1941
Mailing Address - Country:US
Mailing Address - Phone:407-701-8201
Mailing Address - Fax:800-605-5067
Practice Address - Street 1:5613 LA JOYA CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-1941
Practice Address - Country:US
Practice Address - Phone:407-701-8201
Practice Address - Fax:800-605-5067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care