Provider Demographics
NPI:1841452570
Name:AL LIFESTYLES, LLC
Entity type:Organization
Organization Name:AL LIFESTYLES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/NURSE REGISTRY
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:941-782-0823
Mailing Address - Street 1:4301 32ND ST W
Mailing Address - Street 2:SUITE E31
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-2700
Mailing Address - Country:US
Mailing Address - Phone:941-782-0823
Mailing Address - Fax:
Practice Address - Street 1:4301 32ND ST W
Practice Address - Street 2:SUITE E31
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-2700
Practice Address - Country:US
Practice Address - Phone:941-782-0823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty