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Organization
IMACTFUL LOVE AND CAARE LLC
Active
Organization
IMACTFUL LOVE AND CAARE LLC
Active
Other names
impactfullloveandcarellc, impactfulloveandcrellc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA KALA DUBOSE CEO (GNA/CNA/CMT)
(202) 300-1128
Entity
Organization
Contact information
Practice address
615 CRANBROOK RD APT E, COCKEYSVILLE, MD 21030-3845
(202) 300-1128
Mailing address
615 CRANBROOK RD APT E, COCKEYSVILLE, MD 21030-3845
(202) 300-1128
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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