Provider Demographics
NPI:1821776451
Name:MAKALA, LEVI HANKWALE (DVM, MBA, MAT, PHD)
Entity Type:Individual
Prefix:DR
First Name:LEVI
Middle Name:HANKWALE
Last Name:MAKALA
Suffix:
Gender:M
Credentials:DVM, MBA, MAT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LILY OF THE VALLEY ADULT CARE SOLUTIONS (LOVACS) LLC
Mailing Address - Street 2:4933 HEREFORD FARM RD
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-6005
Mailing Address - Country:US
Mailing Address - Phone:706-832-3379
Mailing Address - Fax:
Practice Address - Street 1:4933 HEREFORD FARM RD
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-6005
Practice Address - Country:US
Practice Address - Phone:706-832-3379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPCH010216310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility