Provider Demographics
NPI:1700601440
Name:LOVE THY NEIGHBOR CARE, INC
Entity type:Organization
Organization Name:LOVE THY NEIGHBOR CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WANDRETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-409-0919
Mailing Address - Street 1:2106 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-5502
Mailing Address - Country:US
Mailing Address - Phone:352-409-0919
Mailing Address - Fax:352-787-0997
Practice Address - Street 1:2106 BUTLER ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5502
Practice Address - Country:US
Practice Address - Phone:352-409-0919
Practice Address - Fax:352-787-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)