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NPI Code Detail

MEDICARE: LOVE AND LOYALTY HOME CARE LLC

MEDICARE: LOVE AND LOYALTY HOME CARE 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
1261QA0600XAdult Day Care Clinic/Center
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1720606866
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE AND LOYALTY HOME CARE LLC
Provider Business Mailing Address
First Line : 20 E TABB ST STE 203
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-4560
Country : US
Telephone Number : 804-896-6177
Fax Number :
Provider Business Practice Location Address
First Line : 20 E TABB ST STE 203
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-4560
Country : US
Telephone Number : 804-896-6177
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : LAKIA GAINES
Credential :
Telephone Number : 804-896-6177
Provider Enumeration Date : 07/06/2020
Last Update Date : 01/06/2026

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Directions to “LOVE AND LOYALTY HOME CARE LLC ” Practice Location

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