Organization
FAMILY OF LOVE PROVIDER SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNIE M JACKSON (CEO)
(225) 502-3698
Entity
Organization
Contact information
Practice address
5841 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6036
(225) 256-3559
(225) 831-3374
Mailing address
5841 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6036
(225) 256-3559
(225) 831-3374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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