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General NPI Number Information
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NPI Number | 1033911359
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Entity Type | Organization
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Legal Business Name | LOVING HEARTS SENIOR SOLUTIONS
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 13857 DEVAN LEE DR N
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City | JACKSONVILLE
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State | FL
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Zip | 32226-5827
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Country | US
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Telephone | 904-234-0960
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Fax | 844-458-8736
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Provider Business Mailing Address
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Address Line | 13857 DEVAN LEE DR N
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City | JACKSONVILLE
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State | FL
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Zip | 32226-5827
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Country | US
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Telephone | 904-234-0960
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Fax | 844-458-8736
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHOY PORTER
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Credential |
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Telephone | 904-234-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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