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
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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