Provider Demographics
NPI:1790201341
Name:HANDS OF LOVE-ROANOKE VALLEY LLC
Entity Type:Organization
Organization Name:HANDS OF LOVE-ROANOKE VALLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-381-0450
Mailing Address - Street 1:3128 FOREST HILL AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-7708
Mailing Address - Country:US
Mailing Address - Phone:434-381-0450
Mailing Address - Fax:
Practice Address - Street 1:3128 FOREST HILL AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-7708
Practice Address - Country:US
Practice Address - Phone:434-381-0450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA124752251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health