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General NPI Number Information
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NPI Number | 1013136183
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Entity Type | Organization
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Legal Business Name | LOVING CARE ADULT DAY CARE AND HEALTH CENTER INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7917 MOORES CHAPEL RD SUITE D
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City | CHARLOTTE
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State | NC
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Zip | 28214-1559
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Country | US
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Telephone | 704-391-2776
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Fax | 704-391-3720
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Provider Business Mailing Address
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Address Line | 7917 MOORES CHAPEL RD SUITE D
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City | CHARLOTTE
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State | NC
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Zip | 28214-1559
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Country | US
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Telephone | 704-391-2776
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Fax | 704-391-3720
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. JENOLE JENNINGS
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Credential |
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Telephone | 704-391-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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