Provider Demographics
NPI:1053085290
Name:ARMOR OF LOVE HEALTHCARE LLC
Entity Type:Organization
Organization Name:ARMOR OF LOVE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-664-9900
Mailing Address - Street 1:5621 DELMAR BLVD STE 107D
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-2660
Mailing Address - Country:US
Mailing Address - Phone:314-664-9900
Mailing Address - Fax:314-664-9901
Practice Address - Street 1:5621 DELMAR BLVD STE 107D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-2660
Practice Address - Country:US
Practice Address - Phone:314-664-9900
Practice Address - Fax:314-664-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health