Organization · NPI-2

Loving Hands Extended Home Services LLC

Home Health Aide · Albany, GA

NPI number1821796723

StatusActive

Last updated in NPPESFeb 20, 2023

Details

NPI: 1821796723
Entity type: Organization (NPI-2)
Legal business name: Loving Hands Extended Home Services LLC
Organization subpart: No
Enumeration date: Feb 20, 2023
Certification date: Feb 16, 2023
Last updated: Feb 20, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
374U00000X	Home Health Aide	–	–	Yes
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–

Practice location

1906 Dawson Rd Ste 2
Albany, GA 31707-3306

Phone 229-434-1372 · Fax 229-434-0382

Mailing address

1906 Dawson Rd Ste 2
Albany, GA 31707-3306

Phone 229-434-1372 · Fax 229-434-0382

Authorized official

Peggy Diane Bozeman
Nurse Administrator
2294341372

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