Provider Demographics
NPI:1326468497
Name:IN LOVING HANDS ADULT DAY & HEALTH,LLC
Entity Type:Organization
Organization Name:IN LOVING HANDS ADULT DAY & HEALTH,LLC
Other - Org Name:IN LOVING HANDS ADULT DAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-688-0753
Mailing Address - Street 1:6585 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-1891
Mailing Address - Country:US
Mailing Address - Phone:678-653-8725
Mailing Address - Fax:
Practice Address - Street 1:6585 SPRING ST
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-1891
Practice Address - Country:US
Practice Address - Phone:678-653-8725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1400010688261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003147818BMedicaid
GA003147818AMedicaid