Provider Demographics
NPI:1275355612
Name:A PLACE TO BE LOVED, LLC
Entity type:Organization
Organization Name:A PLACE TO BE LOVED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YOKASTY
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-361-6742
Mailing Address - Street 1:1531 GARDENTON ST NW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-9483
Mailing Address - Country:US
Mailing Address - Phone:321-361-6742
Mailing Address - Fax:321-327-5040
Practice Address - Street 1:251 FALLS CHURCH ST SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-7180
Practice Address - Country:US
Practice Address - Phone:321-361-6742
Practice Address - Fax:321-327-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility