MEDICARE: ARMS OF LOVE TELE-HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	174200000X	Meals Provider
3	251B00000X	Case Management Agency
4	251E00000X	Home Health Agency
5	261QC0050X	Critical Access Hospital Clinic/Center
6	261QC1800X	Corporate Health Clinic/Center
7	261QD0000X	Dental Clinic/Center
8	261QP0904X	Federal Public Health Clinic/Center
9	251T00000X	PACE Provider Organization
10	251V00000X	Voluntary or Charitable Agency
11	282NC0060X	Critical Access Hospital
12	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1013563824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMS OF LOVE TELE-HEALTH, LLC

Provider Business Mailing Address
First Line	:	400 PRYOR ST SW # 50241
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3747
Country	:	US
Telephone Number	:	404-974-5435
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 W PEACHTREE ST NW STE 2311
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3449
Country	:	US
Telephone Number	:	404-974-5435
Fax Number	:	404-745-0076

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	SANDRA GRESHAM
Credential	:	DO
Telephone Number	:	404-974-5435

Provider Enumeration Date	:	08/16/2019
Last Update Date	:	08/07/2020

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Directions to “ARMS OF LOVE TELE-HEALTH, LLC ” Practice Location

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