MEDICARE: ONE LOVE HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164206603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE LOVE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1123 LANIER SPRINGS DR
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30518-7272
Country	:	US
Telephone Number	:	347-461-0823
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 LANIER SPRINGS DR
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30518-7272
Country	:	US
Telephone Number	:	347-461-0823
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DANTE CHRISTOPHER RAWLINS
Credential	:
Telephone Number	:	347-461-0823

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/24/2023

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Directions to “ONE LOVE HEALTHCARE SERVICES LLC ” Practice Location

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