Provider Demographics
NPI:1144768268
Name:TREASURES OF LOVE LLC
Entity Type:Organization
Organization Name:TREASURES OF LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:ANTIONETTI
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-724-2830
Mailing Address - Street 1:12819 HIGH CREST ST
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4550
Mailing Address - Country:US
Mailing Address - Phone:314-724-2830
Mailing Address - Fax:314-274-8656
Practice Address - Street 1:12819 HIGH CREST ST
Practice Address - Street 2:
Practice Address - City:BLACK JACK
Practice Address - State:MO
Practice Address - Zip Code:63033-4550
Practice Address - Country:US
Practice Address - Phone:314-724-2830
Practice Address - Fax:314-274-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health