Provider Demographics
NPI:1447977350
Name:LOVE COURAGE AND COMPASSION LLC
Entity type:Organization
Organization Name:LOVE COURAGE AND COMPASSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUANETTA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-450-3624
Mailing Address - Street 1:1745 WELLS RD APT 103
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-6717
Mailing Address - Country:US
Mailing Address - Phone:904-326-2032
Mailing Address - Fax:904-664-4532
Practice Address - Street 1:1745 WELLS RD APT 103
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-6717
Practice Address - Country:US
Practice Address - Phone:904-326-2032
Practice Address - Fax:904-664-4532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty