Provider Demographics
NPI:1134571896
Name:MRS. MARY'S LOVING ARMS HOME HEALTH CARE LLC.
Entity type:Organization
Organization Name:MRS. MARY'S LOVING ARMS HOME HEALTH CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WILIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HIMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-653-8707
Mailing Address - Street 1:601 N MECHANIC ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-1455
Mailing Address - Country:US
Mailing Address - Phone:757-653-8707
Mailing Address - Fax:
Practice Address - Street 1:21170 MEDICINE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COURTLAND
Practice Address - State:VA
Practice Address - Zip Code:23837-2468
Practice Address - Country:US
Practice Address - Phone:757-653-8707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-161476251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health