Provider Demographics
NPI:1376846899
Name:LABOR OF LUV.L.L.C
Entity Type:Organization
Organization Name:LABOR OF LUV.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER /COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:REMBERT
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:2489-809-3371
Mailing Address - Street 1:22075 ROUGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-5925
Mailing Address - Country:US
Mailing Address - Phone:248-809-3371
Mailing Address - Fax:248-809-3374
Practice Address - Street 1:22075 ROUGEWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-5925
Practice Address - Country:US
Practice Address - Phone:248-910-7197
Practice Address - Fax:248-350-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care