Healthcare Provider Details

I. General information

NPI: 1104980960
Provider Name (Legal Business Name): LOVING EWE CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 MADISON TER
GLENN HEIGHTS TX
75154-8831
US

IV. Provider business mailing address

1203 MADISON TER
GLENN HEIGHTS TX
75154-8831
US

V. Phone/Fax

Practice location:
  • Phone: 972-743-4841
  • Fax: 972-274-2309
Mailing address:
  • Phone: 972-743-4841
  • Fax: 972-274-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. LIANITA HOWARD
Title or Position: OWNER
Credential: C,N,A - MANAGER
Phone: 972-743-4841