Provider Demographics
NPI: | 1881865582 |
---|---|
Name: | LOVETT'S FOSTERCARE |
Entity Type: | Organization |
Organization Name: | LOVETT'S FOSTERCARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SELINA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SPENCER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS |
Authorized Official - Phone: | 305-621-1021 |
Mailing Address - Street 1: | 2250 NW 172ND TER |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI GARDENS |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33056-4624 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-621-1021 |
Mailing Address - Fax: | 305-626-9310 |
Practice Address - Street 1: | 2250 NW 172ND TER |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI GARDENS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33056-4624 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-621-1021 |
Practice Address - Fax: | 305-626-9310 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-03-20 |
Last Update Date: | 2008-03-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 1107747706 | 385HR2055X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |