Provider Demographics
NPI:1679160832
Name:LOVING HANDS IN-HOME RESPITE
Entity type:Organization
Organization Name:LOVING HANDS IN-HOME RESPITE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-347-2406
Mailing Address - Street 1:601 TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:MS
Mailing Address - Zip Code:38748-3353
Mailing Address - Country:US
Mailing Address - Phone:662-347-2406
Mailing Address - Fax:662-827-5338
Practice Address - Street 1:601 TAFT AVE
Practice Address - Street 2:
Practice Address - City:HOLLANDALE
Practice Address - State:MS
Practice Address - Zip Code:38748-3353
Practice Address - Country:US
Practice Address - Phone:166-234-7498
Practice Address - Fax:662-827-5338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health