Provider Demographics
NPI:1881044881
Name:LIKE FAMILY HEALTHCARE LLC
Entity Type:Organization
Organization Name:LIKE FAMILY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:OGLIVIER
Authorized Official - Middle Name:GERTRUDE
Authorized Official - Last Name:QUARLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:540-793-6577
Mailing Address - Street 1:PO BOX 6604
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-0604
Mailing Address - Country:US
Mailing Address - Phone:540-397-6530
Mailing Address - Fax:
Practice Address - Street 1:1606 RUGBY BLVD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24017-3632
Practice Address - Country:US
Practice Address - Phone:540-397-6530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5887551251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health