Healthcare Provider Details
I. General information
NPI: 1619651866
Provider Name (Legal Business Name): LOVE IN LANGUAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2023
Last Update Date: 09/06/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
923 HADDONFIELD RD STE 300 #633
CHERRY HILL NJ
08002-2752
US
IV. Provider business mailing address
923 HADDONFIELD RD STE 300
CHERRY HILL NJ
08002-2752
US
V. Phone/Fax
- Phone: 856-870-7550
- Fax: 856-490-4493
- Phone: 856-870-7550
- Fax: 856-490-4493
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TROY
J
JOHNSON
JR.
Title or Position: OWNER/CEO
Credential:
Phone: 856-870-7550