Provider Demographics
NPI:1508627118
Name:2 HEARTS 1 LOVE, LLC
Entity Type:Organization
Organization Name:2 HEARTS 1 LOVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDIE
Authorized Official - Middle Name:FREEMAN
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-419-1023
Mailing Address - Street 1:3780 HIGHWAY 2
Mailing Address - Street 2:
Mailing Address - City:GRACEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32440-7424
Mailing Address - Country:US
Mailing Address - Phone:850-419-1023
Mailing Address - Fax:
Practice Address - Street 1:3780 HIGHWAY 2
Practice Address - Street 2:
Practice Address - City:GRACEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32440-7424
Practice Address - Country:US
Practice Address - Phone:850-419-1023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care