Provider Demographics
NPI:1912458191
Name:JLOVE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:JLOVE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSAGIE
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:ODEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-623-2420
Mailing Address - Street 1:2015 SANDY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3073
Mailing Address - Country:US
Mailing Address - Phone:832-623-2420
Mailing Address - Fax:281-969-8954
Practice Address - Street 1:2015 SANDY KNOLL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3073
Practice Address - Country:US
Practice Address - Phone:832-623-2420
Practice Address - Fax:281-969-8954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization