Provider Demographics
NPI:1669849873
Name:THE HOUSE OF L.U.V. (LIFE IS UNIQUE & VALUABLE) LLC
Entity Type:Organization
Organization Name:THE HOUSE OF L.U.V. (LIFE IS UNIQUE & VALUABLE) LLC
Other - Org Name:THE HOUSE OF L.U.V
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-480-5115
Mailing Address - Street 1:3203 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-3611
Mailing Address - Country:US
Mailing Address - Phone:336-480-5115
Mailing Address - Fax:
Practice Address - Street 1:3203 MEADOW LN
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-3611
Practice Address - Country:US
Practice Address - Phone:336-480-5115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities