Provider Demographics
NPI:1447825690
Name:L&L ADULT FAMILY CARE HOME @TRANSPORTATION LLC
Entity type:Organization
Organization Name:L&L ADULT FAMILY CARE HOME @TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROWLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-491-6685
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:ATTAPULGUS
Mailing Address - State:GA
Mailing Address - Zip Code:39815-0042
Mailing Address - Country:US
Mailing Address - Phone:850-459-6685
Mailing Address - Fax:
Practice Address - Street 1:665 TALL PINE
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-3233
Practice Address - Country:US
Practice Address - Phone:850-459-6685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home