Provider Demographics
NPI:1932747466
Name:DOVE QUALITY CARE, LLC
Entity Type:Organization
Organization Name:DOVE QUALITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ST-CYR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-709-6840
Mailing Address - Street 1:12255 NW MIAMI CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4551
Mailing Address - Country:US
Mailing Address - Phone:786-709-6840
Mailing Address - Fax:
Practice Address - Street 1:12255 NW MIAMI CT
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-4551
Practice Address - Country:US
Practice Address - Phone:786-709-6840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility