Provider Demographics
NPI:1164745030
Name:BEATRICE LOVING HEART AND HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:BEATRICE LOVING HEART AND HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:EMELIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-353-8985
Mailing Address - Street 1:6223 58TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2858
Mailing Address - Country:US
Mailing Address - Phone:240-353-8985
Mailing Address - Fax:
Practice Address - Street 1:6223 58TH AVE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2858
Practice Address - Country:US
Practice Address - Phone:240-353-8985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health