Provider Demographics
NPI:1932527561
Name:PETALS OF LOVE HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:PETALS OF LOVE HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-808-0960
Mailing Address - Street 1:1410 ROBINSON RD UNIT 200
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2846
Mailing Address - Country:US
Mailing Address - Phone:940-808-0960
Mailing Address - Fax:940-808-0962
Practice Address - Street 1:1410 ROBINSON RD UNIT 200
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-2846
Practice Address - Country:US
Practice Address - Phone:940-808-0960
Practice Address - Fax:940-808-0962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health