Provider Demographics
NPI:1326386178
Name:TENDER LOVE LIVING ASSISTANCE, LLC
Entity Type:Organization
Organization Name:TENDER LOVE LIVING ASSISTANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-986-9625
Mailing Address - Street 1:31693 8 MILE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4217
Mailing Address - Country:US
Mailing Address - Phone:313-986-9625
Mailing Address - Fax:
Practice Address - Street 1:31693 8 MILE RD
Practice Address - Street 2:STE 101
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-4217
Practice Address - Country:US
Practice Address - Phone:313-986-9625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care