Provider Demographics
NPI:1477910321
Name:FAVOR LOVE AND CARE INC
Entity type:Organization
Organization Name:FAVOR LOVE AND CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-887-9911
Mailing Address - Street 1:1747 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-7112
Mailing Address - Country:US
Mailing Address - Phone:904-887-9911
Mailing Address - Fax:
Practice Address - Street 1:1747 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-7112
Practice Address - Country:US
Practice Address - Phone:904-887-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care