Provider Demographics
NPI:1093179749
Name:ARMS OF LOVE ENTERPRISES INC
Entity Type:Organization
Organization Name:ARMS OF LOVE ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRESHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-437-0940
Mailing Address - Street 1:PO BOX 50241
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30302-0241
Mailing Address - Country:US
Mailing Address - Phone:404-437-0940
Mailing Address - Fax:
Practice Address - Street 1:3355 LENOX RD NE
Practice Address - Street 2:750
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1394
Practice Address - Country:US
Practice Address - Phone:404-437-0940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMS OF LOVE ENTERPRISES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058389251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
63618OtherCITY OF ATLANTA DEPARTMENT OF FINANCE