Provider Demographics
NPI:1831442243
Name:SPECIAL LOVING HOME, INC.
Entity type:Organization
Organization Name:SPECIAL LOVING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-POIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-592-4131
Mailing Address - Street 1:652 NW 113TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7977
Mailing Address - Country:US
Mailing Address - Phone:954-592-4131
Mailing Address - Fax:
Practice Address - Street 1:652 NW 113TH TER
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7977
Practice Address - Country:US
Practice Address - Phone:954-592-4131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12246310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility