Provider Demographics
NPI:1588806129
Name:LOVE 2 CARE 4 U
Entity Type:Organization
Organization Name:LOVE 2 CARE 4 U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:J
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED CARE PROVI
Authorized Official - Phone:602-367-0301
Mailing Address - Street 1:2541 E ILLINI ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-1521
Mailing Address - Country:US
Mailing Address - Phone:602-367-0301
Mailing Address - Fax:
Practice Address - Street 1:2541 E ILLINI ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-1521
Practice Address - Country:US
Practice Address - Phone:602-367-0301
Practice Address - Fax:520-413-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health