Provider Demographics
NPI:1760844872
Name:LEE'S LOVING HANDS ADULT FAMILY CARE INC.
Entity type:Organization
Organization Name:LEE'S LOVING HANDS ADULT FAMILY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LEONIE
Authorized Official - Middle Name:ALVIRA
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-312-7571
Mailing Address - Street 1:198 DOVE CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1705
Mailing Address - Country:US
Mailing Address - Phone:561-312-7571
Mailing Address - Fax:561-557-8503
Practice Address - Street 1:198 DOVE CIR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1705
Practice Address - Country:US
Practice Address - Phone:561-312-7571
Practice Address - Fax:561-557-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL52963122Medicaid