Provider Demographics
NPI:1881963536
Name:HELPING HANDS OF LAKELAND, LLC
Entity type:Organization
Organization Name:HELPING HANDS OF LAKELAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LIDA
Authorized Official - Middle Name:DELORIES
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-683-7484
Mailing Address - Street 1:1745 E MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33801-2225
Mailing Address - Country:US
Mailing Address - Phone:863-683-7484
Mailing Address - Fax:866-356-1424
Practice Address - Street 1:3449 DOREEN DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33810-2926
Practice Address - Country:US
Practice Address - Phone:863-683-7484
Practice Address - Fax:866-356-1424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility