Provider Demographics
NPI:1275044059
Name:WE LOVE SENIORS MENTAL HEALTH & DISABILITIES LLC
Entity Type:Organization
Organization Name:WE LOVE SENIORS MENTAL HEALTH & DISABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-656-1500
Mailing Address - Street 1:7220 N LINDBERGH BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2019
Mailing Address - Country:US
Mailing Address - Phone:314-656-1500
Mailing Address - Fax:
Practice Address - Street 1:7220 N LINDBERGH BLVD STE 140
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2019
Practice Address - Country:US
Practice Address - Phone:314-656-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WE LOVE SENIORS HOME HEALTH CARE,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health