Provider Demographics
NPI:1124824834
Name:A PURPOSEFUL LIFE CARE LLC
Entity type:Organization
Organization Name:A PURPOSEFUL LIFE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:ANNABELL
Authorized Official - Last Name:LACRETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-245-2098
Mailing Address - Street 1:9244 CHELSEA DR S
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6275
Mailing Address - Country:US
Mailing Address - Phone:470-632-6053
Mailing Address - Fax:
Practice Address - Street 1:9244 CHELSEA DR S
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-6275
Practice Address - Country:US
Practice Address - Phone:954-245-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-22
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services