Provider Demographics
NPI:1144911157
Name:LOYALTY OF CARE LLC
Entity type:Organization
Organization Name:LOYALTY OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:561-839-0383
Mailing Address - Street 1:1304 FAIRFAX CIR E
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-8612
Mailing Address - Country:US
Mailing Address - Phone:561-839-0383
Mailing Address - Fax:
Practice Address - Street 1:1304 FAIRFAX CIR E
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-8612
Practice Address - Country:US
Practice Address - Phone:561-839-0383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility