Provider Demographics
NPI:1245691609
Name:WE LOVE CARE & SUPPORT GROUP HOME
Entity type:Organization
Organization Name:WE LOVE CARE & SUPPORT GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-390-6817
Mailing Address - Street 1:5627 MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-3735
Mailing Address - Country:US
Mailing Address - Phone:202-390-6817
Mailing Address - Fax:
Practice Address - Street 1:5627 MAGNOLIA LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-3735
Practice Address - Country:US
Practice Address - Phone:202-390-6817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services