Provider Demographics
NPI:1487355806
Name:DAISY'S LOVE HOMECARE SERVICES, LLC
Entity type:Organization
Organization Name:DAISY'S LOVE HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-304-0330
Mailing Address - Street 1:533 CAMANO WAY
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8377
Mailing Address - Country:US
Mailing Address - Phone:888-304-0330
Mailing Address - Fax:470-488-0026
Practice Address - Street 1:533 CAMANO WAY
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8377
Practice Address - Country:US
Practice Address - Phone:888-304-0330
Practice Address - Fax:470-488-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty