Provider Demographics
NPI:1679797138
Name:LOVELACE MULTI-HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:LOVELACE MULTI-HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:O
Authorized Official - Last Name:LOVELACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-427-4338
Mailing Address - Street 1:732 CHEROKEE ST NE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-8909
Mailing Address - Country:US
Mailing Address - Phone:770-427-4338
Mailing Address - Fax:770-516-9623
Practice Address - Street 1:732 CHEROKEE ST NE
Practice Address - Street 2:SUITE E
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8909
Practice Address - Country:US
Practice Address - Phone:770-427-4338
Practice Address - Fax:770-516-9623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033-R-0010251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health