Provider Demographics
NPI:1740569912
Name:LOVE & CARE HOME HEALTH CARE
Entity Type:Organization
Organization Name:LOVE & CARE HOME HEALTH CARE
Other - Org Name:KHIALLAH SOLOMON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KHIALLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-334-4406
Mailing Address - Street 1:209 SCARBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31028-1335
Mailing Address - Country:US
Mailing Address - Phone:478-334-4406
Mailing Address - Fax:
Practice Address - Street 1:209 SCARBOROUGH RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:GA
Practice Address - Zip Code:31028-1335
Practice Address - Country:US
Practice Address - Phone:478-334-4406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health