Provider Demographics
NPI:1487496048
Name:ITS LOVE PERSONAL CARE SERVICE
Entity type:Organization
Organization Name:ITS LOVE PERSONAL CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZELDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-246-2831
Mailing Address - Street 1:2358 SPRINGDALE RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-6120
Mailing Address - Country:US
Mailing Address - Phone:404-246-2831
Mailing Address - Fax:404-549-9161
Practice Address - Street 1:2358 SPRINGDALE RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-6120
Practice Address - Country:US
Practice Address - Phone:404-246-2831
Practice Address - Fax:404-549-9161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty