Healthcare Provider Details

I. General information

NPI: 1801459607
Provider Name (Legal Business Name): LOVE YOUR NEIGHBOR AS YOURSELF, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 E RICH AVE STE H
DELAND FL
32724-4338
US

IV. Provider business mailing address

145 E RICH AVE STE H
DELAND FL
32724-4338
US

V. Phone/Fax

Practice location:
  • Phone: 386-279-0493
  • Fax:
Mailing address:
  • Phone: 386-279-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ROSALEI OLAZAR
Title or Position: CEO
Credential:
Phone: 386-279-0493