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General NPI Number Information
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NPI Number | 1023987716
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Entity Type | Organization
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Legal Business Name | LOVING CARE SENIOR CENTER LLC
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Dates
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Enumeration Date | 11/01/2025
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 6623 FOREST HILL BLVD
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City | GREENACRES
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State | FL
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Zip | 33413-3303
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Country | US
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Telephone | 561-629-5799
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Fax | 561-629-5806
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Provider Business Mailing Address
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Address Line | 6623 FOREST HILL BLVD STE 66236625
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City | GREENACRES
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State | FL
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Zip | 33413-3303
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Country | US
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Telephone | 561-629-5799
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Fax | 561-629-5806
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. HERIAN MARTINEZ
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Credential | PTA
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Telephone | 561-543-0173
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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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