Provider Demographics
NPI:1699426809
Name:FAMILY LOVE HOME CARE OF MICHIGAN
Entity type:Organization
Organization Name:FAMILY LOVE HOME CARE OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:LABRIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-353-7560
Mailing Address - Street 1:599 JUNE PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3023
Mailing Address - Country:US
Mailing Address - Phone:347-353-7560
Mailing Address - Fax:
Practice Address - Street 1:599 JUNE PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3023
Practice Address - Country:US
Practice Address - Phone:347-353-7560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health