Provider Demographics
NPI:1154553808
Name:LL & JHD LLC
Entity type:Organization
Organization Name:LL & JHD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMARAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-220-3880
Mailing Address - Street 1:2440 SE FEDERAL HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4500
Mailing Address - Country:US
Mailing Address - Phone:774-220-3880
Mailing Address - Fax:774-220-3882
Practice Address - Street 1:2440 SE FEDERAL HWY
Practice Address - Street 2:SUITE B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4500
Practice Address - Country:US
Practice Address - Phone:774-220-3880
Practice Address - Fax:774-220-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health