Provider Demographics
NPI:1417678632
Name:TRUE LOVE OUTREACH CENTER INC
Entity Type:Organization
Organization Name:TRUE LOVE OUTREACH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-780-9476
Mailing Address - Street 1:504 DOGWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5833
Mailing Address - Country:US
Mailing Address - Phone:214-780-9476
Mailing Address - Fax:
Practice Address - Street 1:504 DOGWOOD TRL
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5833
Practice Address - Country:US
Practice Address - Phone:214-780-9476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health