Provider Demographics
NPI:1649824707
Name:LOVE FOR OUR VALUED ELDERS
Entity type:Organization
Organization Name:LOVE FOR OUR VALUED ELDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-210-8657
Mailing Address - Street 1:26 CITY HALL PLZ UNIT 1204
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07019-6850
Mailing Address - Country:US
Mailing Address - Phone:718-210-8657
Mailing Address - Fax:929-529-6073
Practice Address - Street 1:26 CITY HALL PLZ UNIT 1204
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07019-6850
Practice Address - Country:US
Practice Address - Phone:718-210-8657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-27
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management