Provider Demographics
NPI:1750054185
Name:LOVEYS'S ALF LLC
Entity Type:Organization
Organization Name:LOVEYS'S ALF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MISS
Authorized Official - First Name:LOVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERANT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:386-265-2912
Mailing Address - Street 1:112 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-3706
Mailing Address - Country:US
Mailing Address - Phone:386-265-2912
Mailing Address - Fax:386-868-5058
Practice Address - Street 1:112 5TH ST
Practice Address - Street 2:
Practice Address - City:HOLLY HILL
Practice Address - State:FL
Practice Address - Zip Code:32117-3706
Practice Address - Country:US
Practice Address - Phone:386-265-2912
Practice Address - Fax:386-868-5058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility