Individual
PORSCHA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA MA
Contact information
Practice address
1600 BLAINE AVE, TERRE HAUTE, IN 47804-3519
(812) 223-3281
Mailing address
1600 BLAINE AVE, TERRE HAUTE, IN 47804-3519
(812) 249-9382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-2592440
NON MEDICAL
IN
Enumeration date
02/03/2022
Last updated
05/02/2023
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