Organization
JACKLYN LUGINBILL
Active
Other names
LOVE.HOPE.HEAL, LOVE.HOPE.HEAL.
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLYN ELENA LUGINBILL BA (OWNER)
(612) 599-0582
Entity
Organization
Contact information
Practice address
18 W 15TH ST APT 206, MINNEAPOLIS, MN 55403-2424
(951) 533-2412
Mailing address
18 W 15TH ST APT 206, MINNEAPOLIS, MN 55403-2424
(612) 599-0582
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134639933
—
CA
Enumeration date
05/06/2024
Last updated
05/15/2024
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