Provider Demographics
NPI:1033965330
Name:LOVE WITHIN A HOME
Entity Type:Organization
Organization Name:LOVE WITHIN A HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WYNDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-439-7582
Mailing Address - Street 1:2015 MERRIMAC DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-2308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2015 MERRIMAC DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-2308
Practice Address - Country:US
Practice Address - Phone:703-439-7582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health