Healthcare Provider Details

I. General information

NPI: 1952432197
Provider Name (Legal Business Name): LOVING HANDS LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 GLENWOOD AVE
EAST ORANGE NJ
07017-1055
US

IV. Provider business mailing address

7 GLENWOOD AVE 1ST FLOOR
EAST ORANGE NJ
07017-1055
US

V. Phone/Fax

Practice location:
  • Phone: 973-243-5700
  • Fax: 973-243-5700
Mailing address:
  • Phone: 973-243-5700
  • Fax: 973-243-5700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberHP0215401 NJ
License Number StateNJ

VIII. Authorized Official

Name: MR. PAUL PROVOST
Title or Position: CFO
Credential:
Phone: 201-265-3523