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NPI Code Detail

MEDICARE: GOD'S LOVE, INC.

MEDICARE: GOD'S LOVE, INC.
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
1251V00000XVoluntary or Charitable Agency08011904IN

General Provider Information

NPI Number : 1801046560
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOD'S LOVE, INC.
Provider Business Mailing Address
First Line : 2325 PEBBLE BEACH DR
Second Line :
City : KOKOMO
State : IN
Zip : 46902-3121
Country : US
Telephone Number : 765-453-2679
Fax Number : 765-450-8192
Provider Business Practice Location Address
First Line : 2325 PEBBLE BEACH DR
Second Line :
City : KOKOMO
State : IN
Zip : 46902-3121
Country : US
Telephone Number : 765-453-2679
Fax Number : 765-450-8192
Authorized Official
Title or Position : CEO
Name : MRS. LATASHA MICHELLE PRIDE
Credential :
Telephone Number : 765-453-2679
Provider Enumeration Date : 09/30/2008
Last Update Date : 09/30/2008

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Directions to “GOD'S LOVE, INC. ” Practice Location

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