Provider Demographics
NPI:1003678798
Name:WRAPPED N LOVE HOMECARE
Entity Type:Organization
Organization Name:WRAPPED N LOVE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATIFAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-886-2023
Mailing Address - Street 1:3000 ATRIUM WAY STE 275B
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 ATRIUM WAY STE 275B
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-3927
Practice Address - Country:US
Practice Address - Phone:609-795-8205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty