Provider Demographics
NPI:1760946081
Name:MY SPECIAL LOVE HOMEMAKER AND COMPANION SERVICES
Entity Type:Organization
Organization Name:MY SPECIAL LOVE HOMEMAKER AND COMPANION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:941-527-8327
Mailing Address - Street 1:909 3RD AVE E APT 208
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-7022
Mailing Address - Country:US
Mailing Address - Phone:941-527-8327
Mailing Address - Fax:
Practice Address - Street 1:909 3RD AVE E APT 208
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-7022
Practice Address - Country:US
Practice Address - Phone:941-527-8327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health