Provider Demographics
NPI:1023254109
Name:KEYS OF LOVE INC
Entity type:Organization
Organization Name:KEYS OF LOVE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANNON
Authorized Official - Suffix:
Authorized Official - Credentials:INCORPORATION
Authorized Official - Phone:469-328-5426
Mailing Address - Street 1:PO BOX 560532
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-0532
Mailing Address - Country:US
Mailing Address - Phone:469-328-5426
Mailing Address - Fax:214-469-1790
Practice Address - Street 1:5216 YOUNG DR
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-1832
Practice Address - Country:US
Practice Address - Phone:469-328-5426
Practice Address - Fax:214-469-1790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251V00000X, 253Z00000X, 343800000X, 343900000X, 251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)