Provider Demographics
NPI:1619686912
Name:WITH LOVE HOME CARE LLC
Entity Type:Organization
Organization Name:WITH LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEVAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-630-9315
Mailing Address - Street 1:1620 TOWNVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5911
Mailing Address - Country:US
Mailing Address - Phone:678-630-9315
Mailing Address - Fax:
Practice Address - Street 1:1620 TOWNVIEW LN
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5911
Practice Address - Country:US
Practice Address - Phone:678-630-9315
Practice Address - Fax:678-623-5913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health