Provider Demographics
NPI:1780056374
Name:LABOR OF LOVE HEALTHCARE LLC
Entity type:Organization
Organization Name:LABOR OF LOVE HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:HELENE
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-287-1472
Mailing Address - Street 1:1967 LINCOLN HWY
Mailing Address - Street 2:SUITE 33
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3271
Mailing Address - Country:US
Mailing Address - Phone:723-287-1472
Mailing Address - Fax:732-287-1479
Practice Address - Street 1:1967 LINCOLN HWY
Practice Address - Street 2:SUITE 33
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3271
Practice Address - Country:US
Practice Address - Phone:723-287-1472
Practice Address - Fax:732-287-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0201300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health