Provider Demographics
NPI:1275971608
Name:AJR LOVING CARE ASSISTED LIVING
Entity Type:Organization
Organization Name:AJR LOVING CARE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLATIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-459-2403
Mailing Address - Street 1:5900 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8333
Mailing Address - Country:US
Mailing Address - Phone:407-671-6161
Mailing Address - Fax:407-699-0160
Practice Address - Street 1:638 WHITE CRANE CT
Practice Address - Street 2:
Practice Address - City:CHULUOTA
Practice Address - State:FL
Practice Address - Zip Code:32766-6673
Practice Address - Country:US
Practice Address - Phone:407-671-6161
Practice Address - Fax:407-699-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11356310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility