Provider Demographics
NPI:1336929132
Name:MIRYAM LOVING CARE LLC
Entity Type:Organization
Organization Name:MIRYAM LOVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-900-2810
Mailing Address - Street 1:4370 SATELLITE BLVD APT 1213
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4073
Mailing Address - Country:US
Mailing Address - Phone:678-900-2810
Mailing Address - Fax:
Practice Address - Street 1:4370 SATELLITE BLVD APT 1213
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4073
Practice Address - Country:US
Practice Address - Phone:678-900-2810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care