# A HEART FULL OF LOVE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A HEART FULL OF LOVE HOME HEALTH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083356638
- **Authorized official:** LISA L GREGORY OWNER (OWNER)
- **Authorized official phone:** (314) 269-6907

## Contact information

- **Practice address:** 10000 N 31ST AVE STE D304B, PHOENIX, AZ 85051-9582
- **Practice address phone:** (314) 269-6907
- **Mailing address:** 10000 N 31ST AVE STE D304B, PHOENIX, AZ 85051-9582
- **Mailing address phone:** (314) 269-6907

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 04/12/2022