MEDICARE: LOVING HEARTS SOCIAL SERVICES

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	251S00000X	Community/Behavioral Health Agency	ADC 9446	LA

General Provider Information

NPI Number	:	1992922736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING HEARTS SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	2448 JOHNSTON ST STE B
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2756
Country	:	US
Telephone Number	:	337-233-7250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2448 JOHNSTON ST STE B
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2756
Country	:	US
Telephone Number	:	337-233-7250
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GIAN DURAND
Credential	:
Telephone Number	:	337-233-7250

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	10/13/2015

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Directions to “LOVING HEARTS SOCIAL SERVICES ” Practice Location

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