Provider Demographics
NPI:1619304631
Name:VISION OF LOVE SR. SERVICES
Entity Type:Organization
Organization Name:VISION OF LOVE SR. SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:C
Authorized Official - Last Name:TOLES
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:330-469-4112
Mailing Address - Street 1:126 ROOSEVELT ST NW
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-3327
Mailing Address - Country:US
Mailing Address - Phone:330-469-4112
Mailing Address - Fax:
Practice Address - Street 1:126 ROOSEVELT ST NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-3327
Practice Address - Country:US
Practice Address - Phone:330-469-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health