Provider Demographics
NPI:1255769782
Name:LOVING ANGELS ASSISTED LIVING FACILITIES,INC
Entity type:Organization
Organization Name:LOVING ANGELS ASSISTED LIVING FACILITIES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-263-2591
Mailing Address - Street 1:9 RAMBLE WAY
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8800
Mailing Address - Country:US
Mailing Address - Phone:386-627-1731
Mailing Address - Fax:386-313-1138
Practice Address - Street 1:9 RAMBLE WAY
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8800
Practice Address - Country:US
Practice Address - Phone:386-627-1731
Practice Address - Fax:386-313-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility