Provider Demographics
NPI:1831962547
Name:FOR YOUR LOVE ONES INC
Entity type:Organization
Organization Name:FOR YOUR LOVE ONES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAHLFANI
Authorized Official - Middle Name:S
Authorized Official - Last Name:NANTAMBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-698-6587
Mailing Address - Street 1:1200 NEWNAN CROSSING BLVD E APT 905
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-1591
Mailing Address - Country:US
Mailing Address - Phone:678-698-6587
Mailing Address - Fax:
Practice Address - Street 1:33200 SCHOOLCRAFT RD STE 206
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1636
Practice Address - Country:US
Practice Address - Phone:678-892-6594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty