Provider Demographics
NPI:1316649742
Name:ALL WE NEED IS LOVE LLC
Entity type:Organization
Organization Name:ALL WE NEED IS LOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICESEE
Authorized Official - Prefix:
Authorized Official - First Name:BUENOMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRABUENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-646-9252
Mailing Address - Street 1:5340 KIRKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713
Mailing Address - Country:US
Mailing Address - Phone:312-646-9255
Mailing Address - Fax:
Practice Address - Street 1:5340 KIRKLAND AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713
Practice Address - Country:US
Practice Address - Phone:312-646-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility