Healthcare Provider Details

I. General information

NPI: 1992954077
Provider Name (Legal Business Name): FOR THE LOVE OF LUCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 RABURN RD
HUEYSVILLE KY
41640-6618
US

IV. Provider business mailing address

5255 HWY 160 SUITE A
LITTCARR KY
41834
US

V. Phone/Fax

Practice location:
  • Phone: 169-679-1242
  • Fax:
Mailing address:
  • Phone: 160-627-1242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKY

VIII. Authorized Official

Name: MRS. DANA WHITE SLONE
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential:
Phone: 16067912426