Provider Demographics
NPI:1629894423
Name:MANAGE WITH LOVE LLC
Entity type:Organization
Organization Name:MANAGE WITH LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-716-3659
Mailing Address - Street 1:PO BOX 1025
Mailing Address - Street 2:
Mailing Address - City:REXBURG
Mailing Address - State:ID
Mailing Address - Zip Code:83440-1025
Mailing Address - Country:US
Mailing Address - Phone:208-716-3659
Mailing Address - Fax:
Practice Address - Street 1:534 TREJO ST STE 200I
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-5408
Practice Address - Country:US
Practice Address - Phone:208-716-3659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities