Provider Demographics
NPI:1962224584
Name:WITH LOVE AND CARE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:WITH LOVE AND CARE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:GATLIN-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-595-1234
Mailing Address - Street 1:1561 FORT ST APT 202
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48146-1992
Mailing Address - Country:US
Mailing Address - Phone:248-595-1234
Mailing Address - Fax:
Practice Address - Street 1:1561 FORT ST APT 202
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:MI
Practice Address - Zip Code:48146-1992
Practice Address - Country:US
Practice Address - Phone:248-595-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care