Provider Demographics
NPI:1134632847
Name:A LOVING HAND HOME CARE SERVICES
Entity type:Organization
Organization Name:A LOVING HAND HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDOSH
Authorized Official - Suffix:
Authorized Official - Credentials:HOME CARE SERVICES
Authorized Official - Phone:423-737-7645
Mailing Address - Street 1:879 HIGHWAY 126 STE B
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-3308
Mailing Address - Country:US
Mailing Address - Phone:423-737-7645
Mailing Address - Fax:
Practice Address - Street 1:879 HIGHWAY 126 STE B
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-3308
Practice Address - Country:US
Practice Address - Phone:423-737-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000856717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty