Healthcare Provider Details

I. General information

NPI: 1528422177
Provider Name (Legal Business Name): STEPHANIE LOVING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 04/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3403 PENFIELD RD
COLUMBUS OH
43227-3750
US

IV. Provider business mailing address

3403 PENFIELD RD
COLUMBUS OH
43227-3750
US

V. Phone/Fax

Practice location:
  • Phone: 614-648-4096
  • Fax:
Mailing address:
  • Phone: 614-648-4096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. STEPHANIE NORTON
Title or Position: OWNER
Credential:
Phone: 614-648-4096