Provider Demographics
NPI:1457983587
Name:ALWAYS LOVE GROUP HOME LLC
Entity type:Organization
Organization Name:ALWAYS LOVE GROUP HOME LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GARNETTA
Authorized Official - Middle Name:ENOCH
Authorized Official - Last Name:MCADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-263-6860
Mailing Address - Street 1:PO BOX 2554
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27216-2554
Mailing Address - Country:US
Mailing Address - Phone:336-263-6860
Mailing Address - Fax:336-270-5156
Practice Address - Street 1:809 WICKER ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2362
Practice Address - Country:US
Practice Address - Phone:336-263-6860
Practice Address - Fax:336-270-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-06
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home