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General NPI Number Information
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NPI Number | 1972960417
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Entity Type | Organization
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Legal Business Name | LOV JOY SENIOR LIVING LLC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 6021 CLEAR SPRINGS RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4637
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Country | US
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Telephone | 410-530-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 6021 CLEAR SPRINGS RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-4637
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Country | US
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Telephone | 410-530-0088
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. LORRIE ANN NICHOLS
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Credential | MT, PCT, GNA
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Telephone | 410-530-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 2016-263838-R
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License Number State | VA
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