Provider Demographics
NPI:1295211514
Name:L&S HOME HEALTH CARE
Entity Type:Organization
Organization Name:L&S HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEXA-RAY
Authorized Official - Middle Name:ELNORA
Authorized Official - Last Name:LOYD
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, HHA, DIRECTOR
Authorized Official - Phone:850-703-1191
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:EBRO
Mailing Address - State:FL
Mailing Address - Zip Code:32437-0194
Mailing Address - Country:US
Mailing Address - Phone:850-703-1191
Mailing Address - Fax:
Practice Address - Street 1:5609 HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:FL
Practice Address - Zip Code:32462-3872
Practice Address - Country:US
Practice Address - Phone:850-703-1191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL18000150384251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health