Provider Demographics
NPI:1093089005
Name:LOVE & COMPASSION HEALTH SERVICE
Entity Type:Organization
Organization Name:LOVE & COMPASSION HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RESHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-223-2678
Mailing Address - Street 1:1302 MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-2204
Mailing Address - Country:US
Mailing Address - Phone:769-223-2678
Mailing Address - Fax:
Practice Address - Street 1:1302 MEADOWBROOK AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-2204
Practice Address - Country:US
Practice Address - Phone:769-223-2678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP325240253Z00000X
LA20100495253Z00000X
MSP321846253Z00000X
LA272417253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care