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NPI Code Detail

MEDICARE: LOVE&TRUST

MEDICARE: LOVE&TRUST
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
1251E00000XHome Health Agency916318VA

General Provider Information

NPI Number : 1447655238
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE&TRUST
Provider Business Mailing Address
First Line : 999 WATERSIDE DR
Second Line : 2525&2600
City : NORFOLK
State : VA
Zip : 23510-3300
Country : US
Telephone Number : 757-237-2185
Fax Number :
Provider Business Practice Location Address
First Line : 999 WATERSIDE DR
Second Line : 2525&2600
City : NORFOLK
State : VA
Zip : 23510-3300
Country : US
Telephone Number : 757-237-2185
Fax Number :
Authorized Official
Title or Position : C.E.O
Name : MR. MALCOLM AUGUSTIN JORDAN
Credential :
Telephone Number : 757-237-2185
Provider Enumeration Date : 10/23/2014
Last Update Date : 10/23/2014

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Directions to “LOVE&TRUST ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.