Provider Demographics
NPI:1376879932
Name:L & L HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:L & L HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE-LUCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:305-705-2221
Mailing Address - Street 1:20401 NW 2ND AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-2542
Mailing Address - Country:US
Mailing Address - Phone:305-705-2221
Mailing Address - Fax:305-705-2051
Practice Address - Street 1:20401 NW 2ND AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-2542
Practice Address - Country:US
Practice Address - Phone:305-705-2221
Practice Address - Fax:305-705-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPENDING251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care