1639866528 NPI number — LOVE AND LOYALTY RECRUITMENT SOLUTIONS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639866528 NPI number — LOVE AND LOYALTY RECRUITMENT SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOVE AND LOYALTY RECRUITMENT SOLUTIONS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639866528
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERRY POINT
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22513-0203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-896-6177
Provider Business Mailing Address Fax Number:
804-451-4739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
77 S MAIN ST OFC 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KILMARNOCK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22482-9537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-896-1777
Provider Business Practice Location Address Fax Number:
804-451-4739
Provider Enumeration Date:
04/20/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GAINES
Authorized Official First Name:
LAKIA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
804-896-6177

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)