Healthcare Provider Details

I. General information

NPI: 1356498521
Provider Name (Legal Business Name): LOVING CARE AND MORE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 10/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WINDRIVER RD
SILVERTON ID
83867-0119
US

IV. Provider business mailing address

PO BOX 119
SILVERTON ID
83867-0119
US

V. Phone/Fax

Practice location:
  • Phone: 208-752-1019
  • Fax: 208-752-1063
Mailing address:
  • Phone: 208-752-1019
  • Fax: 208-752-1063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHH-149
License Number StateID

VIII. Authorized Official

Name: MICHAEL HULL
Title or Position: PRESIDENT
Credential: RN
Phone: 208-752-1019