Healthcare Provider Details

I. General information

NPI: 1588176192
Provider Name (Legal Business Name): ALL LOVING HANDS WITH CARING HEARTS HOME CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2017
Last Update Date: 11/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1709 BRISTOL TRL
JOHNS CREEK GA
30022-8062
US

IV. Provider business mailing address

1709 BRISTOL TRL
JOHNS CREEK GA
30022-8062
US

V. Phone/Fax

Practice location:
  • Phone: 470-246-8398
  • Fax:
Mailing address:
  • Phone: 470-246-8398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number060-R-1619
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number060-R-1619
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number060-R-1619
License Number StateGA

VIII. Authorized Official

Name: MS. WONDOLYN CRITTENDEN
Title or Position: OWNER
Credential:
Phone: 470-246-8398