Provider Demographics
NPI:1295245330
Name:AMLOVE SENIOR CARE
Entity type:Organization
Organization Name:AMLOVE SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDELL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PHILLIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-578-4142
Mailing Address - Street 1:8700 SW 109TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-9700
Mailing Address - Country:US
Mailing Address - Phone:800-578-4142
Mailing Address - Fax:800-578-4142
Practice Address - Street 1:8700 SW 109TH LN
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-9700
Practice Address - Country:US
Practice Address - Phone:800-578-4142
Practice Address - Fax:800-578-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA166697251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health