MEDICARE: FIRST LOVING CARE, HCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	13918	AL

General Provider Information

NPI Number	:	1265738520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST LOVING CARE, HCA

Provider Business Mailing Address
First Line	:	3322 MEMORIAL PKWY SW
Second Line	:	SUITE 614
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5335
Country	:	US
Telephone Number	:	256-417-0021
Fax Number	:

Provider Business Practice Location Address
First Line	:	3322 MEMORIAL PKWY SW
Second Line	:	SUITE 614
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5335
Country	:	US
Telephone Number	:	256-417-0021
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VONIA SEAY
Credential	:
Telephone Number	:	256-417-0021

Provider Enumeration Date	:	02/03/2011
Last Update Date	:	02/08/2011

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