MEDICARE: SIMPLY LOVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1629994801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLY LOVE

Provider Business Mailing Address
First Line	:	2170 W POINT RD STE 8
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30240-4008
Country	:	US
Telephone Number	:	706-756-2552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2170 W POINT RD STE 8
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30240-4008
Country	:	US
Telephone Number	:	706-756-2552
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ALIYA QUICK
Credential	:
Telephone Number	:	706-756-2551

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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Directions to “SIMPLY LOVE ” Practice Location

Language	Start Address	Practice Location

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