Organization
KINGDOM ON EARTH SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LOVE (EXECUTIVE DIRECTOR)
(251) 709-8244
Entity
Organization
Contact information
Practice address
13321 AUGUST DR, MOBILE, AL 36695-8595
(251) 709-8244
(251) 865-1669
Mailing address
13321 AUGUST DR, MOBILE, AL 36695-8595
(251) 709-8244
(251) 865-1669
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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