Provider Demographics
NPI:1730361072
Name:HOLY LOVE CAREGIVERS
Entity type:Organization
Organization Name:HOLY LOVE CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:DENESE
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED NURSES AID
Authorized Official - Phone:318-352-5578
Mailing Address - Street 1:1414 HIGHWAY 1
Mailing Address - Street 2:1302
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-7664
Mailing Address - Country:US
Mailing Address - Phone:318-352-5578
Mailing Address - Fax:
Practice Address - Street 1:1414 HIGHWAY 1
Practice Address - Street 2:1302
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-7664
Practice Address - Country:US
Practice Address - Phone:318-352-5578
Practice Address - Fax:318-352-5579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health