Healthcare Provider Details

I. General information

NPI: 1689982886
Provider Name (Legal Business Name): LOVING ARMS ADULT DAYC ARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 11/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 DORR ST
TOLEDO OH
43615-3423
US

IV. Provider business mailing address

5707 DORR ST
TOLEDO OH
43615-3423
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-9547
  • Fax:
Mailing address:
  • Phone: 419-720-9547
  • Fax: 419-720-9548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TRINA JE'NAE JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 419-787-8111