Healthcare Provider Details

I. General information

NPI: 1164780540
Provider Name (Legal Business Name): WHO LOVES U
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2012
Last Update Date: 04/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14951 BELLOW FALLS LN APT 918
HUMBLE TX
77396-6092
US

IV. Provider business mailing address

14915 BELLOWS FALLS 918
HUMBLE TX
77396
US

V. Phone/Fax

Practice location:
  • Phone: 281-409-4862
  • Fax: 713-692-2157
Mailing address:
  • Phone: 281-409-4862
  • Fax: 713-692-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateTX

VIII. Authorized Official

Name: MS. JOHNNETTA MATRICE NICHOLS
Title or Position: OWNER
Credential:
Phone: 281-409-4862