Organization
MABLE'S PLACE LLC
Active
Other names
Mable's Homecare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAKIYA MONIQUE LOVELADY LLC (HOME HEALTH AGENCY)
(574) 222-6080
Entity
Organization
Contact information
Practice address
3518 NORTHSIDE BLVD APT B7, SOUTH BEND, IN 46615-2041
(574) 222-6080
Mailing address
3518 NORTHSIDE BLVD APT B7, SOUTH BEND, IN 46615-2041
(574) 222-6080
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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