Provider Demographics
NPI:1821203910
Name:LABOR OF LOVE TOTAL HEALTHCARE, INC.
Entity Type:Organization
Organization Name:LABOR OF LOVE TOTAL HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-689-4205
Mailing Address - Street 1:1349 SOUTHPORT CIRCLE
Mailing Address - Street 2:SIUTE 111
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1161
Mailing Address - Country:US
Mailing Address - Phone:757-689-4205
Mailing Address - Fax:
Practice Address - Street 1:349 SOUTHPORT CIR
Practice Address - Street 2:SIUTE 111
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1161
Practice Address - Country:US
Practice Address - Phone:757-689-4205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO07421251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health