Provider Demographics
NPI:1699157198
Name:LOVE WITH COMPASSION
Entity type:Organization
Organization Name:LOVE WITH COMPASSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINT-FESTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-732-4443
Mailing Address - Street 1:1093 FOREST PATH
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-2923
Mailing Address - Country:US
Mailing Address - Phone:678-732-4443
Mailing Address - Fax:
Practice Address - Street 1:1093 FOREST PATH
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30088-2923
Practice Address - Country:US
Practice Address - Phone:678-732-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACLA000780320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities