Provider Demographics
NPI:1295460152
Name:LEVITICUS LOVING HANDS SOCIAL ADULT DAYCARE INC.
Entity Type:Organization
Organization Name:LEVITICUS LOVING HANDS SOCIAL ADULT DAYCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAMEL
Authorized Official - Middle Name:DONNELL
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-476-7369
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-0629
Mailing Address - Country:US
Mailing Address - Phone:516-476-7369
Mailing Address - Fax:
Practice Address - Street 1:64 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-6045
Practice Address - Country:US
Practice Address - Phone:516-476-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEVITICUS INSTITUTE OF BUSINESS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care