Healthcare Provider Details

I. General information

NPI: 1346455961
Provider Name (Legal Business Name): LOVING CARE ADHC LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 CAMINO DEL RIO S STE 201
SAN DIEGO CA
92108-3789
US

IV. Provider business mailing address

2565 CAMINO DEL RIO S STE 201
SAN DIEGO CA
92108-3789
US

V. Phone/Fax

Practice location:
  • Phone: 619-718-9777
  • Fax: 619-718-9772
Mailing address:
  • Phone: 619-718-9777
  • Fax: 619-718-9772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RIMMA ZUBKIS
Title or Position: CFO
Credential:
Phone: 619-718-9777