Provider Demographics
NPI:1801046560
Name:GOD'S LOVE, INC.
Entity type:Organization
Organization Name:GOD'S LOVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:PRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-453-2679
Mailing Address - Street 1:2325 PEBBLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-3121
Mailing Address - Country:US
Mailing Address - Phone:765-453-2679
Mailing Address - Fax:765-450-8192
Practice Address - Street 1:2325 PEBBLE BEACH DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3121
Practice Address - Country:US
Practice Address - Phone:765-453-2679
Practice Address - Fax:765-450-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08011904251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable