Healthcare Provider Details

I. General information

NPI: 1336082981
Provider Name (Legal Business Name): LABOR OF LOVE ADULT FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7774 WATER ST
FULTON MD
20759-2558
US

IV. Provider business mailing address

7774 WATER ST
FULTON MD
20759-2558
US

V. Phone/Fax

Practice location:
  • Phone: 773-383-1005
  • Fax:
Mailing address:
  • Phone: 773-383-1005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MYRNA JACKSON
Title or Position: CEO
Credential: RN
Phone: 773-383-1005