MEDICARE: LOVIN NURSES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251J00000X	Nursing Care Agency
3	310400000X	Assisted Living Facility
4	311ZA0620X	Adult Care Home Facility
5	313M00000X	Nursing Facility/Intermediate Care Facility
6	315P00000X	Intellectual Disabilities Intermediate Care Facility
7	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1568746998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVIN NURSES

Provider Business Mailing Address
First Line	:	3219 GUADALOUPE
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6708
Country	:	US
Telephone Number	:	469-265-6701
Fax Number	:

Provider Business Practice Location Address
First Line	:	3219 GUADALOUPE
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-6708
Country	:	US
Telephone Number	:	469-265-6701
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KENYA PHILIPS
Credential	:	RN
Telephone Number	:	469-265-6701

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	10/20/2012

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Directions to “LOVIN NURSES ” Practice Location

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