Provider Demographics
NPI:1750837928
Name:LIFE IS PRECIOUS ASSISTED LIVING, L.L.C
Entity Type:Organization
Organization Name:LIFE IS PRECIOUS ASSISTED LIVING, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVANS
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-628-5187
Mailing Address - Street 1:2527 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4930
Mailing Address - Country:US
Mailing Address - Phone:954-628-5187
Mailing Address - Fax:954-628-5187
Practice Address - Street 1:2527 JACKSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4930
Practice Address - Country:US
Practice Address - Phone:954-628-5187
Practice Address - Fax:954-628-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility