Lovely Care Manor Llc

LBN: Lovely Care Manor Llc
Lovely Care Manor Llc is an health care organization with primary practice located at 2869 Sarah Dr , Clearwater FL 33759-2010. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Lovely Care Manor Llc can be contacted via phone (727) 754-5309, or through Phouthavong, Anee via phone (727) 754-5309.

Contact Information

Primary practice address
2869 Sarah Dr Clearwater FL 33759-2010
Phone: (727) 754-5309
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phouthavong, Anee
Phone: (727) 754-5309

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12322 Florida

Profile Details

NPI number 1134550718
LBN Legal business name Lovely Care Manor Llc
DBA Doing business as
Authorized official Phouthavong, Anee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2013
Last updated Dec 6th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134550718 NPPES
Florida MEDICAID 008879500

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