Provider Demographics
NPI:1578338992
Name:ROBYNN'S GIFTED HANDS OF LOVE LLC
Entity Type:Organization
Organization Name:ROBYNN'S GIFTED HANDS OF LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-552-3783
Mailing Address - Street 1:5321 N SHERMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-4646
Mailing Address - Country:US
Mailing Address - Phone:414-552-3783
Mailing Address - Fax:414-206-0063
Practice Address - Street 1:4100 W RIVER LN STE 101
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53209-1201
Practice Address - Country:US
Practice Address - Phone:414-552-3783
Practice Address - Fax:414-205-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health