Provider Demographics
NPI:1922686195
Name:SISTERS WITH LOVE HOME HEALTH LLC
Entity Type:Organization
Organization Name:SISTERS WITH LOVE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:CCMA
Authorized Official - Phone:904-405-5181
Mailing Address - Street 1:5791 UNIVERSITY CLUB BLVD N UNIT 208
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-9406
Mailing Address - Country:US
Mailing Address - Phone:904-405-5181
Mailing Address - Fax:
Practice Address - Street 1:5791 UNIVERSITY CLUB BLVD N UNIT 208
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-9406
Practice Address - Country:US
Practice Address - Phone:904-405-5181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health