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
StateLicense IDTaxonomies
FL1107747706385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child