Organization
LIVE LIFE IN FULL BLOOM TOO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JANES QMHP-A, CSAC-A (OWNER)
(804) 933-8357
Entity
Organization
Contact information
Practice address
7277 HANOVER GREEN DR STE A2, MECHANICSVILLE, VA 23111-1764
(804) 933-8357
Mailing address
2615 OAK HILL RD, PETERSBURG, VA 23805-2425
(804) 933-8357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/03/2025
Last updated
01/20/2026
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