Provider Demographics
NPI:1841689296
Name:LOVE AND COMPASSION HEALTH CARE SERVICES
Entity type:Organization
Organization Name:LOVE AND COMPASSION HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:RESHONDA
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-223-2678
Mailing Address - Street 1:1302 MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-2204
Mailing Address - Country:US
Mailing Address - Phone:769-223-2678
Mailing Address - Fax:601-510-2405
Practice Address - Street 1:1302 MEADOWBROOK AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-2204
Practice Address - Country:US
Practice Address - Phone:769-223-2678
Practice Address - Fax:601-510-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01820571Medicaid