Provider Demographics
NPI:1447963533
Name:AKA TENDER LOVIING CARE LLC
Entity type:Organization
Organization Name:AKA TENDER LOVIING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-845-3042
Mailing Address - Street 1:448 LAKE ELOISE POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-5859
Mailing Address - Country:US
Mailing Address - Phone:863-845-3042
Mailing Address - Fax:
Practice Address - Street 1:448 LAKE ELOISE POINTE BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-5859
Practice Address - Country:US
Practice Address - Phone:863-845-3042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services