MEDICARE: LOVING EWE CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1104980960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING EWE CARE CENTER

Provider Business Mailing Address
First Line	:	1203 MADISON TER
Second Line	:
City	:	GLENN HEIGHTS
State	:	TX
Zip	:	75154-8831
Country	:	US
Telephone Number	:	972-743-4841
Fax Number	:	972-274-2309

Provider Business Practice Location Address
First Line	:	1203 MADISON TER
Second Line	:
City	:	GLENN HEIGHTS
State	:	TX
Zip	:	75154-8831
Country	:	US
Telephone Number	:	972-743-4841
Fax Number	:	972-274-2309

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LIANITA HOWARD
Credential	:	C,N,A - MANAGER
Telephone Number	:	972-743-4841

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/22/2020

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