Organization
GOSPELHEROES LOVECARE SERVICES LLC
Active
Other names
GOSPELHEROES LOVECARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIBROAD TICHA (OWNER)
(202) 294-8080
Entity
Organization
Contact information
Practice address
9600 GOLF LAKES TRL APT 1007, DALLAS, TX 75231-5012
(202) 294-8080
Mailing address
9600 GOLF LAKES TRL APT 1007, DALLAS, TX 75231-5012
(202) 294-8080
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/10/2023
Last updated
10/04/2023
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