# LYFE OF LOVE HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083264741
- **Authorized official:** MS. SHANELL RIDDICK (ADMINISTRATOR)
- **Authorized official phone:** (757) 202-2321

## Contact information

- **Practice address:** 3228 BROOKBRIDGE RD, VIRGINIA BEACH, VA 23452-4907
- **Practice address phone:** (757) 971-0610
- **Mailing address:** 1509 LAKE CHRISTOPHER DR, VIRGINIA BEACH, VA 23464-7212
- **Mailing address phone:** (757) 202-2321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2019
- **Last updated:** 09/16/2019