Organization
4 YOUR LOVE HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLISA AMOO-MENSAH (OWNER/DIRECTOR)
(321) 271-0677
Entity
Organization
Contact information
Practice address
2412 IRWIN ST, MELBOURNE, FL 32901-7316
(321) 271-0677
Mailing address
2412 IRWIN ST, MELBOURNE, FL 32901-7316
(321) 271-0677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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