Provider Demographics
NPI:1295003143
Name:4 YOUR BELOVED, LIMITED LIABINITY COMPANY
Entity Type:Organization
Organization Name:4 YOUR BELOVED, LIMITED LIABINITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:E
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-728-0699
Mailing Address - Street 1:7428 DUQUESNE AVE
Mailing Address - Street 2:
Mailing Address - City:SWISSVALE
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2508
Mailing Address - Country:US
Mailing Address - Phone:412-728-0699
Mailing Address - Fax:412-271-7428
Practice Address - Street 1:7428 DUQUESNE AVE
Practice Address - Street 2:
Practice Address - City:SWISSVALE
Practice Address - State:PA
Practice Address - Zip Code:15218-2508
Practice Address - Country:US
Practice Address - Phone:412-728-0699
Practice Address - Fax:412-271-7428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No347B00000XTransportation ServicesBus
No385H00000XRespite Care FacilityRespite Care