Provider Demographics
NPI:1144114976
Name:LOUELLA'S OPEN ARMS INC.
Entity type:Organization
Organization Name:LOUELLA'S OPEN ARMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AUSHIKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-508-1016
Mailing Address - Street 1:1675 TRAIL BLAZER DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32310-3651
Mailing Address - Country:US
Mailing Address - Phone:850-508-1016
Mailing Address - Fax:
Practice Address - Street 1:1675 TRAIL BLAZER DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32310-3651
Practice Address - Country:US
Practice Address - Phone:850-508-1016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health