Healthcare Provider Details

I. General information

NPI: 1386574754
Provider Name (Legal Business Name): A LOVING PLACE CALLED HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8506 SALEM RD
QUINCY FL
32352-0740
US

IV. Provider business mailing address

220 STEVENS DR
MIDWAY FL
32343-2663
US

V. Phone/Fax

Practice location:
  • Phone: 850-322-8008
  • Fax:
Mailing address:
  • Phone: 850-322-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DANELLA DIXON
Title or Position: CEO
Credential:
Phone: 850-322-8008