Provider Demographics
NPI:1699918417
Name:ANOINTED HANDS OF LOVE,LLC
Entity type:Organization
Organization Name:ANOINTED HANDS OF LOVE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:225-993-0766
Mailing Address - Street 1:855 S FLANNERY RD APT 723
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-6965
Mailing Address - Country:US
Mailing Address - Phone:225-993-0766
Mailing Address - Fax:225-636-5715
Practice Address - Street 1:855 S FLANNERY RD APT 723
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-6965
Practice Address - Country:US
Practice Address - Phone:225-993-0766
Practice Address - Fax:225-636-5715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA376K00000X305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization