Provider Demographics
NPI:1093949539
Name:LOVE IS QUALITY HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:LOVE IS QUALITY HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSING ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMBA
Authorized Official - Middle Name:LASHEA
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-281-5759
Mailing Address - Street 1:887 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38107-2543
Mailing Address - Country:US
Mailing Address - Phone:901-281-5759
Mailing Address - Fax:901-388-7151
Practice Address - Street 1:887 THOMAS ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107-2543
Practice Address - Country:US
Practice Address - Phone:901-281-5759
Practice Address - Fax:901-388-7151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00106545251E00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No251E00000XAgenciesHome Health