Provider Demographics
NPI:1073213203
Name:EN LOVE,LLC
Entity Type:Organization
Organization Name:EN LOVE,LLC
Other - Org Name:ENLOVE WELLNESS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHOUNEQA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-815-4877
Mailing Address - Street 1:255 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-2624
Mailing Address - Country:US
Mailing Address - Phone:954-815-4877
Mailing Address - Fax:
Practice Address - Street 1:1001 N FEDERAL HWY STE 200
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2416
Practice Address - Country:US
Practice Address - Phone:954-815-4877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty