Provider Demographics
NPI:1225801186
Name:LOYAL LOVE & CARE LLC
Entity Type:Organization
Organization Name:LOYAL LOVE & CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOCIATES IN HEALTH
Authorized Official - Phone:313-802-4972
Mailing Address - Street 1:6477 ABINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-4714
Mailing Address - Country:US
Mailing Address - Phone:313-802-4972
Mailing Address - Fax:313-802-4972
Practice Address - Street 1:6477 ABINGTON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-4714
Practice Address - Country:US
Practice Address - Phone:313-802-4972
Practice Address - Fax:313-802-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care