Provider Demographics
NPI:1982388591
Name:ANOINTED HANDS LOVING CARE LLC
Entity Type:Organization
Organization Name:ANOINTED HANDS LOVING CARE LLC
Other - Org Name:ANOINTED HANDS LOVING CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMETRIA
Authorized Official - Middle Name:COVET
Authorized Official - Last Name:GREEN NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-232-4565
Mailing Address - Street 1:1810 N ASHLEY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-3065
Mailing Address - Country:US
Mailing Address - Phone:229-232-4565
Mailing Address - Fax:
Practice Address - Street 1:1810 N ASHLEY ST STE 1
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-3065
Practice Address - Country:US
Practice Address - Phone:229-232-4565
Practice Address - Fax:229-232-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health