Provider Demographics
NPI:1508104704
Name:DE LOVELY HOME CARE INC.
Entity Type:Organization
Organization Name:DE LOVELY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOVETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:2148811888
Authorized Official - Phone:214-881-1888
Mailing Address - Street 1:4442 HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3372
Mailing Address - Country:US
Mailing Address - Phone:214-881-1888
Mailing Address - Fax:469-375-2476
Practice Address - Street 1:4442 HANOVER ST
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-3372
Practice Address - Country:US
Practice Address - Phone:214-881-1888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0156123747P1801X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty