Provider Demographics
NPI:1528342698
Name:LOUELLA'S LOVING HANDS LLC
Entity type:Organization
Organization Name:LOUELLA'S LOVING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKIESHA
Authorized Official - Middle Name:ANICE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-657-8576
Mailing Address - Street 1:PO BOX 981113
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-1113
Mailing Address - Country:US
Mailing Address - Phone:180-038-5188
Mailing Address - Fax:188-868-4076
Practice Address - Street 1:16246 S M 52
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:MI
Practice Address - Zip Code:49285-9592
Practice Address - Country:US
Practice Address - Phone:180-038-5188
Practice Address - Fax:188-868-4076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health