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General NPI Number Information
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NPI Number | 1295872653
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Entity Type | Organization
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Legal Business Name | LOVING CARE INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9508 FAIRMOUNT RD
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City | LOUISVILLE
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State | KY
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Zip | 40291
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Country | US
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Telephone | 502-239-6739
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Fax | 502-290-5481
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Provider Business Mailing Address
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Address Line | 9508 FAIRMOUNT RD
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City | LOUISVILLE
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State | KY
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Zip | 40291
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Country | US
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Telephone | 502-239-6739
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Fax | 502-290-5481
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Authorized Official
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Title or Position | HOME CARE PROVIDER ASSISTANT
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Name | LINDA HOFFMAN
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Credential |
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Telephone | 502-239-6739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 33000472
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License Number State | KY
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