Benjamin Love Family LLC
Technician, Personal Care Attendant in Chesapeake, VA. Organization (NPI-2).
NPI number1033977244
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1033977244
- Entity type
- Organization (NPI-2)
- Legal business name
- Benjamin Love Family LLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2024
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
4604 Ballahack RdChesapeake, VA 23322-3257
Phone 757-773-7875
Mailing address
4604 Ballahack RdChesapeake, VA 23322-3257
Phone 757-773-7875
Authorized official
Jimmy Lee Harrison
Owner
7577737875
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