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Organization
LOVE ONES
Active
Organization
LOVE ONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHENEATHA LUSHANN JOHNSON (OWNER)
(850) 630-8596
Entity
Organization
Contact information
Practice address
3124 A ST, PANAMA CITY, FL 32404-2003
(850) 763-1519
Mailing address
3124 A ST, PANAMA CITY, FL 32404-2003
(850) 763-1519
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L11000012762
FL
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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