Healthcare Provider Details

I. General information

NPI: 1760203202
Provider Name (Legal Business Name): VALENTINE'S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 LATONA AVNEUE
EWING NJ
08618
US

IV. Provider business mailing address

613 LATONA AVNEUE
EWING NJ
08618
US

V. Phone/Fax

Practice location:
  • Phone: 609-912-4744
  • Fax:
Mailing address:
  • Phone: 609-912-4744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LOUKRICIA BELLS
Title or Position: OWNER
Credential:
Phone: 640-258-7088