Healthcare Provider Details

I. General information

NPI: 1164613246
Provider Name (Legal Business Name): LOVE PREVAILS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10910 GULF FWY # 379
HOUSTON TX
77034-2582
US

IV. Provider business mailing address

PO BOX 262383
HOUSTON TX
77207-2383
US

V. Phone/Fax

Practice location:
  • Phone: 713-943-7694
  • Fax:
Mailing address:
  • Phone: 713-943-7694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. SOPHIA TANET SCOTT
Title or Position: FOUNDER
Credential:
Phone: 713-943-7694